IndividualActive
Bhanu Muniyappa
NPI 1225456718 · Pediatrics Physician · Salt Lake City, UT
Provider details
- NPI number
- 1225456718
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- Yes
- License
- 9529294-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
100 Mario Capecchi Dr
Pediatrics Residency Program
Salt Lake City, UT 84113-1103
Phone: (801) 662-5700
Approximate (ZIP-level) locationGet directions
Mailing address
100 Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Registry dates
- Enumerated
- 2014-04-01
- Last updated
- 2021-11-30
- Certified
- 2021-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.