IndividualActive
Imad Farrukh, MD
NPI 1851498273 · Pulmonary Disease Physician · West Jordan, UT
Provider details
- NPI number
- 1851498273
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1786741205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3584 W 9000 S Ste 201
West Jordan, UT 84088-4773
Phone: (801) 568-0202
Fax: (801) 532-0906
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 150173
Ogden, UT 84415-0173
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2007-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.