IndividualActive
Edward Ganellen, MD
NPI 1164414017 · Interventional Cardiology Physician · Salt Lake City, UT
Provider details
- NPI number
- 1164414017
- Entity type
- Individual
- Primary specialty
- Interventional Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 187176-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1160 E 3900 S
Suite 2000
Salt Lake City, UT 84124-1202
Phone: (801) 266-3418
Fax: (801) 288-4444
Approximate (ZIP-level) locationGet directions
Mailing address
1160 E 3900 S
Salt Lake City, UT 84124-1202
Registry dates
- Enumerated
- 2005-08-17
- Last updated
- 2015-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.