OrganizationActive
Presidium Medical Group PLLC
NPI 1689461774 · Adult Medicine Physician · Salt Lake City, UT
Provider details
- NPI number
- 1689461774
- Entity type
- Organization
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ashkan Hayatdavoudi, Owner(619) 738-5566
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
32 E Exchange Pl Fl 6
Salt Lake City, UT 84111-2704
Phone: (619) 738-5566
Approximate (ZIP-level) locationGet directions
Mailing address
32 E Exchange Pl Fl 6
Salt Lake City, UT 84111-2704
Registry dates
- Enumerated
- 2025-04-22
- Last updated
- 2025-04-22
- Certified
- 2025-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.