IndividualActive
Amir Teimouri Dereshgi, MD
NPI 1356090658 · Surgery Physician · Salt Lake City, UT
Provider details
- NPI number
- 1356090658
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 13613795-1205 (UT)
Practice location
30 N Mario Capecchi Dr Rm 4s100
Salt Lake City, UT 84112
Phone: (801) 581-2121
Mailing address
30 N Mario Capecchi Dr Rm 4s100
Salt Lake City, UT 84112
Registry dates
- Enumerated
- 2022-03-22
- Last updated
- 2023-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.