IndividualActive
Derek Uchida
NPI 1396824967 · Pediatric Pulmonology Physician · Salt Lake City, UT
Provider details
- NPI number
- 1396824967
- Entity type
- Individual
- Primary specialty
- Pediatric Pulmonology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 294251-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
100 Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Phone: (801) 662-1795
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 413021
Salt Lake City, UT 84141-3021
Registry dates
- Enumerated
- 2006-11-03
- Last updated
- 2021-11-23
- Certified
- 2021-11-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.