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

Olivier Mutah Mulyangote, PA

Individual provider Physician Assistant · NPI 1215262944

Olivier Mutah Mulyangote, PA is a Physician Assistant in Salt Lake City, Utah. Graduated from University of Utah School of Medicine in 2009, 17 years ago. Practices with University of Utah Community Physicians Group, a 280-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
17
Trained at
University of Utah School of Medicine
Licensed in
UT
In the registry since
2009
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3195 S Main St Ste 200
Salt Lake City, UT 84115-3749
Phone: (801) 468-0354
Fax: (801) 468-0353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 74589851206 (UT)

Record details

NPI number1215262944
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 14, 2009
Last updated in NPPESMay 2, 2023
Certification dateMay 2, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice University Of Utah Community Physicians Group — 280 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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