IndividualActive
Seth Illu, MD
NPI 1043960396 · Emergency Medical Services (Emergency Medicine) Physician · Salt Lake City, UT
Provider details
- NPI number
- 1043960396
- Entity type
- Individual
- Primary specialty
- Emergency Medical Services (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 14206975-1205 (UT)
Practice location
30 N Mario Capecdai Dr Rm 2s200
Salt Lake City, UT 84112
Phone: (801) 581-2121
Mailing address
30 N Mario Capecdai Dr Rm 2s200
Salt Lake City, UT 84112
Registry dates
- Enumerated
- 2022-03-28
- Last updated
- 2025-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.