Maftoun-Banankhah, Sepideh

Maftoun-Banankhah, Sepideh is an individual health care provider with primary practice located at 4301 N Star Way , Modesto CA 95356-9262. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Maftoun-Banankhah, Sepideh can be contacted via phone (209) 577-1200.

Contact Information

Primary practice address
4301 N Star Way Modesto CA 95356-9262
Phone: (209) 577-1200
Fax: (209) 577-6517
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X A109216 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X A109216 California

Profile Details

NPI number 1780887257
LBN Legal business name Maftoun-Banankhah, Sepideh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2007
Last updated Jul 21st, 2022 - about 2 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 1780887257 NPPES
Other BP1-0018061 INSTITUTIONAL PERMIT

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