Mina Gohari
Medical Specialty
Professional ID
- NPI: 1083824940
- PECOS ID: 4486799038
- Enrollment ID: I20101110000397
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2001
Hospital Service
- Hospital CCN1: 460047
- Business Name (LBN)1: St Marks Hospital
- Hospital CCN2: 460060
- Business Name (LBN)2: Lone Peak Hospital
- Hospital CCN3: 460044
- Business Name (LBN)3: Alta View Hospital
- Hospital CCN4: 460010
- Business Name (LBN)4: Intermountain Medical Center
- Hospital CCN5: 460005
- Business Name (LBN)5: Ogden Regional Medical Center
Medical Practices
- Organization Name: St Marks Physician Billing Llc
- Group Practice ID assigned by PECOS: 6103061072
- Number of Group Practice member: 7
Location
- Address1: 1160 E 3900 S
- Address2: G200
- City: Salt Lake City
- State: Utah
- Zip Code: 84124
- Phone Number: (801)268-7766
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR): Yes