Family Medicine
Dr. MARYANA BOULOS MD
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1598325821 · enumerated 2019-06-18 · record updated 2023-11-09. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 1250 E 3900 S STE 260, SALT LAKE CITY, UT, 84124-1371 (801) 265-2000 Google Maps Apple Maps OpenStreetMap
- Mailing address 1365 W 1000 N, SALT LAKE CITY, UT, 84116-1654 (801) 328-5750 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · Primary · License 12851770-1205 UT
- Family Medicine 207Q00000X · License 12851770-1205-1205 UT
In this directory
Locations and evidence
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Practice location
SALT LAKE CITY, UT, 841241371
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.