Individual provider · Type 1 NPI

Vinodhini Kolandavelu, PA-C

Medical Physician Assistant · Salt Lake City, UT

NPI number 1801163464 Active

Practice location

30 N 1900 E, 50M 4R118
Salt Lake City, UT 84132-0002

Call (801) 581-7803 Map

Mailing address

1059 University Vlg
Salt Lake City, UT 84108-3454

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X8111395-1206 (UT)

Medical Physician Assistant: Definition to come...

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About NPI 1801163464

Vinodhini Kolandavelu, PA-C's National Provider Identifier is 1801163464, issued on Nov 28, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Salt Lake City, UT. The record was last updated on Dec 20, 2021.