Mahmoodian, Maryam
Mahmoodian, Maryam is an individual health care provider with primary practice located at 2217 Princess Anne St , Fredericksburg VA 22401-3353. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mahmoodian, Maryam can be contacted via phone (540) 735-0560.Contact Information
Primary practice address
2217 Princess Anne St
Fredericksburg VA 22401-3353
Phone: (540) 735-0560
Fax: (540) 735-0567
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 22338 | Nebraska |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35947 | Iowa |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101255978 | Virginia |
Profile Details
| NPI number | 1013982859 |
|---|---|
| LBN Legal business name | Mahmoodian, Maryam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Jan 14th, 2015 - about 11 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 | 1013982859 | NPPES |
| Virginia | MEDICAID | 1013982859 | |
| Virginia | MEDICAID | 10025024300 | |
| Virginia | MEDICAID | 10025024400 |
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