Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shaleen Doctor

Individual provider Family Medicine Physician · NPI 1417444845

Shaleen Doctor is a Family Practice in Bountiful, Utah. Qualified in 2017, 9 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group and accepts Medicare assignment. Licensed in Montana, Oregon and Utah.

Years since qualifying
9
Licensed in
MT, OR, UT
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

390 N Main St
Bountiful, UT 84010-6046
Phone: (801) 397-6400
Fax: (801) 396-6439
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 12857581 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence MED-RES-LIC-67437 (MT)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD204302 (OR)

Record details

NPI number1417444845
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 20, 2018
Last updated in NPPESMarch 26, 2024
Certification dateMarch 26, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bountiful