Doctor Name: | ANJANI DURGA GOLIVE |
NPI Number: | 1023385283 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | 5121 S Cottonwood St Murray, UT - 841075701 |
Business Phone Number: | 8014086220 |
Business Fax Number: | |
Mailing Address: | Po Box 27128, SALT LAKE CITY |
State: | UT |
Postal Code: | 841270128 |
Phone Number: | 8014086220 |
Fax Number: | |
NPI Enumeration Date: | 11/16/2011 |
NPI Last Update Date: | 10/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |