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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DOUGLAS GAVIN KONDO, M.D.

Active

DR. DOUGLAS GAVIN KONDO, M.D. is a Psychiatric Neurology healthcare provider located in SALT LAKE CITY, Utah. NPI 1083703284 is currently active in the NPPES registry. Verify at CMS.

Psychiatric Neurology · SALT LAKE CITY, UT

Registration Details

NPI Number
1083703284
Provider Type
Individual
Gender
Male
NPI Issued
Oct 12, 2006 (19.847009936285 yrs)
Last Updated
Mar 7, 2023
Licenses
6313601-1205 (UT)
6313601-1205 (UT)

Practice Information

Address
501 S CHIPETA WAY
SALT LAKE CITY, UT, 841081222
Browse UT providers · Browse ZIP 84108
Phone
8015851575
Primary Specialty
Psychiatric Neurology
2084P0804X
Additional Specialty
Psychiatric Neurology

Other Psychiatric Neurology Providers in SALT LAKE CITY, UT

Name Credential NPI
DR. POONAM SONI MD 1548244676
DR. JEAN ELIZABETH DEDRICK-ZEHNDER M.D. 1770562621
DR. JAMAL S HEJAZI MD 1558332437
BETH ANN GASPARO M.D. 1598736217
KALYANI SAMUDRA MD 1528035748
JAMES C. ASHWORTH M.D. 1679514988
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.