Mohamed Dafalla
Mohamed Dafalla is an Endocrinology in American Fork, Utah. Qualified in 2011, 15 years ago. Practices with Revere Health PC, a 410-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.
- Years since qualifying
- 15
- Licensed in
- UT
- In the registry since
- 2014
- Specialties on file
- 3
Practice location Address checks out
1175 E 50 S Ste 241American Fork, UT 84003-2849
Phone: (801) 429-8008
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Endocrinology, Diabetes & Metabolism Physician (primary) | Taxonomy 207RE0101X · Licence 12371377-1205 (UT) |
|---|---|
| Obesity Medicine (Preventive Medicine) Physician | Taxonomy 2083B0002X · Licence 12371377-1205 (UT) |
| Internal Medicine Physician | Taxonomy 207R00000X · Licence 12371377-1205 (UT) |
Record details
| NPI number | 1730507625 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 29, 2014 |
| Last updated in NPPES | January 7, 2022 |
| Certification date | January 7, 2022 |
| Mailing address | 1055 N 500 W, Attn Credentialing, Provo, UT 84604 |
Medicare enrollment
| Medicare specialty | ENDOCRINOLOGY |
|---|---|
| Also practises | INTERNAL MEDICINE |
| Medical school | OTHER |
| Graduated | 2011 (15 years in practice) |
| Group practice | Revere Health Pc — 410 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |