IndividualActive
Yuri Khodakov, MD
NPI 1700099983 · Interventional Cardiology Physician · Ogden, UT
Provider details
- NPI number
- 1700099983
- Entity type
- Individual
- Primary specialty
- Interventional Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 6656163-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
4403 Harrison Blvd
Suite 3490
Ogden, UT 84403-3271
Phone: (801) 387-2650
Fax: (801) 387-2655
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 27128
Salt Lake City, UT 84127-0128
Registry dates
- Enumerated
- 2007-05-07
- Last updated
- 2008-07-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.