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Mark Massoud, MBCHB — NPI 1881009157, Salt Lake City, UT | NPI Central

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NPI 1881009157

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Mark Massoud, MBCHB

NPI 1881009157 · Nephrology Physician · Salt Lake City, UT

Provider details

NPI number: 1881009157
Entity type: Individual
Primary specialty: Nephrology PhysicianAllopathic & Osteopathic Physicians
Credential: MBCHB
Sex: Male
Sole proprietor: No
License: 125065612 (IL)

Specialties & taxonomies

Nephrology PhysicianPrimary207RN0300XLicense 12240898-1205 (UT)
Allopathic & Osteopathic Physicians
Internal Medicine Physician207R00000XLicense 125065612 (IL)
Allopathic & Osteopathic Physicians

Practice location

30 N 1900 E Rm 4r312

Salt Lake City, UT 84132-0002

Phone: (801) 581-8193

Approximate (ZIP-level) locationGet directions

More UT providers

Mailing address

30 N 1900 E Rm 4r312

Salt Lake City, UT 84132-0002

Additional practice locations (1)

701 N 1st St
Springfield, IL 62702-3757
Phone: (217) 545-0182

Registry dates

Enumerated: 2014-06-25
Last updated: 2021-05-27
Certified: 2021-05-27

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.