NPI 1275488637

Keyan Rafizadeh

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

Practice location

Address: 10894 S River Front Pkwy, South Jordan, UT 84095-5609
Phone: (801) 302-2600
Mailing address: 122 E Sego Lily Dr APT 407, Sandy, UT 84070-4391

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1275488637
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Mar 2026
Record last updated: 2 Mar 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.