Hedayatzadeh, Maryam
Hedayatzadeh, Maryam is an individual health care provider with primary practice located at 761 Main Ave , Norwalk CT 06851-1080. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Hedayatzadeh, Maryam can be contacted via phone (203) 644-1100.Contact Information
Primary practice address
761 Main Ave
Norwalk CT 06851-1080
Phone: (203) 644-1100
Fax: (203) 644-1111
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 047760 | Connecticut |
Profile Details
| NPI number | 1700013182 |
|---|---|
| LBN Legal business name | Hedayatzadeh, Maryam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2009 |
| Last updated | Jun 12th, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700013182 | NPPES |
| Connecticut | Other | 047760 | LICENSE |
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