Mobasseri-Maraghi, Mandana

Mobasseri-Maraghi, Mandana is an individual health care provider with primary practice located at 350 Bmh Physicians Office Bldg , Maryville TN 37804-5819. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mobasseri-Maraghi, Mandana can be contacted via phone (865) 982-5044.

Contact Information

Primary practice address
350 Bmh Physicians Office Bldg Maryville TN 37804-5819
Phone: (865) 982-5044
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN0000020601 Tennessee

Profile Details

NPI number 1609249465
LBN Legal business name Mobasseri-Maraghi, Mandana
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2015
Last updated Oct 28th, 2025 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609249465 NPPES
Tennessee MEDICAID Q018534

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