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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 9 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 1013982859 NPPES
Virginia MEDICAID 1013982859
Virginia MEDICAID 10025024300
Virginia MEDICAID 10025024400

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