Edward W Ganellen, MD
Edward W Ganellen, MD is a Cardiovascular Disease Physician in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2005.
- Licensed in
- UT
- In the registry since
- 2005
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1160 E 3900 S Ste 2000Salt Lake City, UT 84124-1202 Not confirmed with CMS for 11 years — call before visiting
Phone: (801) 266-3418
Fax: (801) 288-4444
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Interventional Cardiology Physician (primary) | Taxonomy 207RI0011X · Licence 187176-1205 (UT) |
|---|---|
| Cardiovascular Disease Physician | Taxonomy 207RC0000X · Licence 187176-1205 (UT) |
Record details
| NPI number | 1164414017 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | August 17, 2005 |
| Last updated in NPPES | January 20, 2015 |
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