Hosseini-Dehkordi, Maryam

Hosseini-Dehkordi, Maryam is an individual health care provider with primary practice located at 6440 Nicollet Ave , Richfield MN 55423-1613. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Hosseini-Dehkordi, Maryam can be contacted via phone (612) 861-1622.

Contact Information

Primary practice address
6440 Nicollet Ave Richfield MN 55423-1613
Fax: (612) 861-2307
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 36305 Minnesota

Profile Details

NPI number 1861472250
LBN Legal business name Hosseini-Dehkordi, Maryam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Feb 19th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861472250 NPPES
Minnesota MEDICAID 994025100

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