Mohammadkhani, Maryam
Mohammadkhani, Maryam is an individual health care provider with primary practice located at 1000 E Primrose St Ste 550 , Springfield MO 65807-5180. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Mohammadkhani, Maryam can be contacted via phone (417) 269-4647.Contact Information
Primary practice address
1000 E Primrose St Ste 550
Springfield MO 65807-5180
Phone: (417) 269-4647
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 2001008744 | Missouri |
Profile Details
| NPI number | 1497824460 |
|---|---|
| LBN Legal business name | Mohammadkhani, Maryam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 6th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1497824460 | NPPES |
| Missouri | Other | 159012 | BLUECROSSBLUESHIELD-TRI-L |
| Missouri | Other | 1100331 | BLUECROSSBLUESHIELD-TRI-L |
| Missouri | Other | 1559 | BLUECROSSBLUESHIELD-TRI-L |
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