NPI 1649642000 · live from the CMS NPI Registry
Suman Barua, Au.D
Audiologist in Salt Lake City, UT. National Provider Identifier 1649642000, active.
NPI record
| NPI | 1649642000 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 500 Foothill Dr, Salt Lake City, UT 84148 |
| Practice phone | 801-585-1565 |
| Mailing address | 1740 N Milwaukee St, Ste A, Boise, ID 83704 |
| Enumerated | October 26, 2015 |
| Last updated | June 7, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | 9579211 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.