Shideh Hafezi, PharmD
- Affiliated sites
- 2
- Medical group
- 1
- State license
- 1
- Year NPI issued
- 2023
- Practice locations
- 2
- Practice address
- 404 South 400 West, Salt Lake City, UT 84101
- Practice phone
- Call (801) 364-0058
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Fourth Street Clinic - Salt Lake City (S 400 W)
FQHC - Main Site · Salt Lake City, Utah
Find Shideh Hafezi's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Shideh Hafezi is an ambulatory care pharmacist in Salt Lake City, Utah
Shideh Hafezi practices at Fourth Street Clinic - Salt Lake City (S 400 W) in Salt Lake City, Utah.
Shideh Hafezi's NPI, 1316629884, was assigned on August 3, 2023. Shideh Hafezi holds Utah license 1534831701.
- NPI
- 1316629884NPI Registry (opens in a new tab)
- NPI enumeration date
- August 3, 2023
- NPI status
- Active
- Practice phone
- (801) 364-0058
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Female
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Affiliation Data
Shideh Hafezi practices at 2 locations in Salt Lake City, Utah
Shideh Hafezi's primary practice is Fourth Street Clinic - Salt Lake City (S 400 W), at 404 South 400 West, Salt Lake City, UT 84101 in Salt Lake County. The practice phone is (801) 364-0058. Shideh Hafezi also practices at Fourth Street Clinic, 409 W 400 S, Salt Lake City, UT 84101.
- Fourth Street Clinic - Salt Lake City (S 400 W)Primary404 South 400 West, Salt Lake City, UT 84101 · Salt Lake CountyPhone(801) 364-0058
- Fourth Street Clinic409 W 400 S, Salt Lake City, UT 84101 · Salt Lake CountyPhone(801) 364-0058
Sources: NPPES NPI Registry (CMS); Dmand AI Affiliation Data; and Dmand AI Practice Data
Shideh Hafezi is affiliated with 2 sites of care and 1 medical group
Shideh Hafezi's primary practice is Fourth Street Clinic - Salt Lake City (S 400 W) in Salt Lake City, Utah. The medical group on file is Fourth Street Clinic. Dmand AI also links Shideh Hafezi to 1 more behavioral health center, named with a free account. Shideh Hafezi's employer is on file too: a community health center (fqhc).
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Shideh Hafezi's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Shideh Hafezi practices, 2 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Fourth Street Clinic - Salt Lake City (S 400 W) | Available with a free account |
| +1 more affiliated site | Available with a free account |
Source: Dmand AI Technology Install Data
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Shideh Hafezi's specialty is ambulatory care
Ambulatory care is Shideh Hafezi's primary specialty in the NPI Registry, under taxonomy code 1835P2201X. The record also lists ambulatory care. Shideh Hafezi is licensed in Utah.
Specialties and state licenses
- Ambulatory care pharmacist, UtahPrimary
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Shideh Hafezi's patients have a median age of 62
Across all payers, Dmand AI patient panel data puts Shideh Hafezi's median patient age at 62, with 25% women.
Shideh Hafezi's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 62
Patient panel by sex, all payers
- Women25%
- Men75%
Source: Dmand AI Patient Panel Data
Sources for Shideh Hafezi's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Affiliation DataDmand AI Practice Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| EHR at each practice site | Dmand AI Technology Install Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Shideh Hafezi
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What is Shideh Hafezi's NPI number?
Shideh Hafezi's NPI number is 1316629884. It was assigned on August 3, 2023, and it is active in the NPI Registry.
What does Shideh Hafezi specialize in?
Shideh Hafezi is an ambulatory care pharmacist in Salt Lake City, Utah. The primary specialty in the NPI Registry is Ambulatory Care Pharmacist (taxonomy code 1835P2201X).
Where does Shideh Hafezi practice?
Shideh Hafezi practices at 404 South 400 West, Salt Lake City, UT 84101. Shideh Hafezi also practices at 409 W 400 S, Salt Lake City, UT 84101. Shideh Hafezi's primary practice is Fourth Street Clinic - Salt Lake City (S 400 W) in Salt Lake City, Utah. Dmand AI also links Shideh Hafezi to 1 behavioral health center.
What is Shideh Hafezi's office phone number?
The practice phone on file for Shideh Hafezi is (801) 364-0058.
What is Shideh Hafezi's medical license number?
Shideh Hafezi holds Utah license 1534831701.
What medical group is Shideh Hafezi part of?
Shideh Hafezi is linked to Fourth Street Clinic.
How long has Shideh Hafezi been practicing?
Shideh Hafezi's NPI was assigned in 2023.
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