Ganna Shestakova, MDPHD
Ganna Shestakova, MDPHD is a Pathology in Salt Lake City, Utah. Qualified in 2003, 23 years ago. Practices with University of Utah Adult Services, a 1,740-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.
- Years since qualifying
- 23
- Licensed in
- UT
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
15 N Medical Dr Ste 1100Salt Lake City, UT 84112-1100
Phone: (801) 583-2787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 101 The City Dr S Bldg 1, Orange, CA 92868-3201 — (714) 456-6411
Specialties & licences
| Hematology (Pathology) Physician (primary) | Taxonomy 207ZH0000X · Licence 12256633-1205 (UT) |
|---|---|
| Molecular Genetic Pathology (Pathology) Physician | Taxonomy 207ZP0007X · Licence 12256633-1205 (UT) |
Record details
| NPI number | 1164877544 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MDPHD |
| Sole proprietor | No |
| NPI enumerated | May 4, 2016 |
| Last updated in NPPES | July 8, 2022 |
| Certification date | July 8, 2022 |
Medicare enrollment
| Medicare specialty | PATHOLOGY |
|---|---|
| Medical school | OTHER |
| Graduated | 2003 (23 years in practice) |
| Group practice | University Of Utah Adult Services — 1740 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Salt Lake City
-
Dr. Karl Virgil Voelkerding, MD
University Of Utah School Of Medicine 30 N 1900 E, Salt Lake City, UT 84132-0001 · (801) 583-2787