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

Shaleen Doctor

Individual provider Family Medicine Physician · NPI 1417444845

Shaleen Doctor is a Family Practice in Bountiful, Utah. Qualified in 2017, 9 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group and accepts Medicare assignment. Licensed in Montana, Oregon and Utah.

Years since qualifying
9
Licensed in
MT, OR, UT
In the registry since
2018
Specialties on file
3

Practice location Address checks out

390 N Main St
Bountiful, UT 84010-6046
Phone: (801) 397-6400
Fax: (801) 396-6439
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 12857581 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence MED-RES-LIC-67437 (MT)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD204302 (OR)

Record details

NPI number1417444845
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 20, 2018
Last updated in NPPESMarch 26, 2024
Certification dateMarch 26, 2024
Mailing address390 N Main St, Bountiful, UT 84010-6046

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bountiful