Misha Fotoohi
Misha Fotoohi is a Family Practice in Salt Lake City, Utah. Graduated from University of Nevada School of Medicine in 2020, 6 years ago. Practices with Associated Physicians of Harvard Medical Faculty Physicians at Beth Is, a 558-clinician group and accepts Medicare assignment. Licensed in Utah.
- Years since qualifying
- 6
- Trained at
- University of Nevada School of Medicine
- Licensed in
- UT
- In the registry since
- 2020
Practice location Address checks out
375 S Chipeta Way Ste ASalt Lake City, UT 84108-1261
Phone: (801) 581-8250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence V (UT) |
|---|
Record details
| NPI number | 1790314433 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 4, 2020 |
| Last updated in NPPES | September 15, 2021 |
| Certification date | September 15, 2021 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | UNIVERSITY OF NEVADA SCHOOL OF MEDICINE |
| Graduated | 2020 (6 years in practice) |
| Group practice | Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is — 558 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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