| Dr Komal Rastogi, MD | |
|
2965 W 3500 S, West Valley City, UT 84119-3602 | |
| (801) 965-3600 | |
| Not Available |
| Full Name | Dr Komal Rastogi |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 14 Years |
| Location | 2965 W 3500 S, West Valley City, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063774669 | NPI | - | NPPES |
| 3007519 | Medicaid | UT |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Mark's Hospital | Salt lake city, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Granger Medical Clinic Pc | 3476465691 | 172 |
| Granger Medical Specialists Llc | 4587074356 | 3 |
| Entity Name | Granger Medical Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184657041 PECOS PAC ID: 3476465691 Enrollment ID: O20031105000159 |
| Entity Name | Physician Group Of Utah Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477676930 PECOS PAC ID: 8022032234 Enrollment ID: O20060113000886 |
| Entity Name | Virtual Neurology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760940167 PECOS PAC ID: 9830425321 Enrollment ID: O20200212001058 |
| Entity Name | Granger Medical Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376159368 PECOS PAC ID: 4587074356 Enrollment ID: O20201105002207 |
| Entity Name | Virtual Neurology Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467092114 PECOS PAC ID: 3779910047 Enrollment ID: O20240410002093 |
| Entity Name | Virtual Neurology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336808567 PECOS PAC ID: 4981087897 Enrollment ID: O20240425001786 |
| Entity Name | Virtual Neurology Kansas Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942922687 PECOS PAC ID: 9436694270 Enrollment ID: O20240814000766 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Komal Rastogi, MD 2965 W 3500 S, West Valley City, UT 84119-3602 Ph: (801) 965-3600 | Dr Komal Rastogi, MD 2965 W 3500 S, West Valley City, UT 84119-3602 Ph: (801) 965-3600 |
Susan M Zimmerman, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3725 W 4100 South, West Valley City, UT 84120 Phone: 801-965-3600 Fax: 801-965-3526 | |
Mr. Glen Eric Johnson, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 3940 West 4100 South, West Valley City, UT 84120 Phone: 801-966-3700 Fax: 801-966-9421 |