Individual provider · Type 1 NPI

Keyan Rafizadeh

Student in an Organized Health Care Education/Training Program · South Jordan, UT

NPI number 1275488637 Active

Practice location

10894 S River Front Pkwy
South Jordan, UT 84095-5609

Call (801) 302-2600 Map

Mailing address

122 E Sego Lily Dr Apt 407
Sandy, UT 84070-4391

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1275488637

Keyan Rafizadeh's National Provider Identifier is 1275488637, issued on Mar 2, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in South Jordan, UT. The record was last updated on Mar 2, 2026.