| Dr Venugopal Amula, | |
| 100 N Mario Capecchi Dr, Slc, UT 84113-1103 | |
| (806) 622-2550 | |
| Not Available | 
| Full Name | Dr Venugopal Amula | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics - Pediatric Critical Care Medicine | 
| Location | 100 N Mario Capecchi Dr, Slc, Utah | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1528268448 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 4301089982 (Michigan) | Secondary | 
| 2080P0203X | Pediatrics - Pediatric Critical Care Medicine | 7391530-1205 (Utah) | Primary | 
| Entity Name | University Of Utah Pediatric Acuity Care | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1619325131 PECOS PAC ID: 6406148345 Enrollment ID: O20160713000869 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Venugopal Amula, 100 N Mario Capecchi Dr, Slc, UT 84113-1103 Ph: (801) 662-2550 | Dr Venugopal Amula, 100 N Mario Capecchi Dr, Slc, UT 84113-1103 Ph: (806) 622-2550 | 
| Molly A O'gorman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 N Medical Dr, Slc, UT 84113 Phone: 801-588-2000 | |
| Dr. Jared W Henricksen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Mario Capecchi Dr, Slc, UT 84113 Phone: 801-662-1000 | |
| Dr. Louis Borgenicht, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 850 E 300 S Ste 5, Slc, UT 84102 Phone: 801-531-8689 Fax: 801-531-1277 | |
| James Thomas, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 295 S Chipeta Way, Slc, UT 84108 Phone: 801-581-4178 Fax: 801-587-7417 | |
| Spencer Barfuss, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 81 N Mario Capecchi Dr, Slc, UT 84113 Phone: 801-213-7609 |