NPI 1568922151 · live from the CMS NPI Registry
Alan R. Massouh, MD
Radiology, Diagnostic Radiology in Salt Lake City, UT. National Provider Identifier 1568922151, active.
NPI record
| NPI | 1568922151 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 30 N 1900 E Rm 1a071, Salt Lake City, UT 84132 |
| Practice phone | 801-581-2868 |
| Mailing address | 111 Colchester Ave, Burlington, VT 05401 |
| Enumerated | March 21, 2019 |
| Last updated | February 13, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | 340814 (NY) |
| Radiology, Diagnostic Radiology | 2085R0202X | 11924132-1205 (UT) |
| Radiology, Vascular & Interventional Radiology | 2085R0204X | 11924132-1205 (UT) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | 042.0018520 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.