Provider Demographics
NPI:1801982699
Name:GOVINDJI, JAYANTI P (MD)
Entity type:Individual
Prefix:DR
First Name:JAYANTI
Middle Name:P
Last Name:GOVINDJI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3340 NORTH CENTER ST
Mailing Address - Street 2:#800
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-7406
Mailing Address - Country:US
Mailing Address - Phone:801-990-1911
Mailing Address - Fax:801-990-1912
Practice Address - Street 1:1034 NORTH 500 WEST
Practice Address - Street 2:UTAH VALLEY REGIONAL MEDICAL CENTER
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84604
Practice Address - Country:US
Practice Address - Phone:801-507-5248
Practice Address - Fax:801-990-1912
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2012-10-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
UT79-164569-1205207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID806154500Medicaid
UT870545614GO1OtherEDUCATORS MUTUAL
WY118954900Medicaid
NV100501909Medicaid
UT2090168OtherUNITED HEALTHCARE
UT53236OtherHEALTHY U
UTPR00868OtherMOLINA
UTQM0000075886OtherALTIUS
UT107004952101OtherIHC
UT35878OtherDESERET MUTUAL
UT8597445OtherWORKERS COMP
UT37784OtherPEHP
AZ825193Medicaid
UT8597445OtherWORKERS COMP
UTQM0000075886OtherALTIUS
UT35878OtherDESERET MUTUAL