Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Luis B. Fandino, MD

Individual provider Orthopaedic Surgery Physician · NPI 1043770472

Luis B. Fandino, MD is an Orthopaedic Surgery Physician in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2019.

Licensed in
UT
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

590 S Wakara Way
Salt Lake City, UT 84108-1200
Phone: (801) 587-5448
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 11912760-1205 (UT)

Record details

NPI number1043770472
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 21, 2019
Last updated in NPPESAugust 27, 2020
Certification dateAugust 27, 2020

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