Provider Demographics
NPI:1447460274
Name:HALWANI, AHMAD SAMI (MD)
Entity type:Individual
Prefix:DR
First Name:AHMAD
Middle Name:SAMI
Last Name:HALWANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HEALTH INFORMATION DPT OF UTAH HOSPITAL
Mailing Address - Street 2:50 NORTH MEDICAL DRIVE, ROOM AA241 SOM
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84132-0001
Mailing Address - Country:US
Mailing Address - Phone:801-581-7907
Mailing Address - Fax:801-581-5393
Practice Address - Street 1:HEALTH INFORMATION DPT OF UTAH HOSPITAL
Practice Address - Street 2:50 NORTH MEDICAL DRIVE, ROOM AA241 SOM
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84132-0001
Practice Address - Country:US
Practice Address - Phone:801-581-7907
Practice Address - Fax:801-581-5393
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAR-7299207R00000X
IAR-8149207K00000X
IAR-8589207RX0202X
UT8029607-1205207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology