Moghadam, Mariam S.

Moghadam, Mariam S. is an individual health care provider with primary practice located at 1181 N Mount Vernon Ave , Colton CA 92324-2574. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Moghadam, Mariam S. can be contacted via phone (909) 498-2356.

Contact Information

Primary practice address
1181 N Mount Vernon Ave Colton CA 92324-2574
Phone: (909) 498-2356
Fax: (877) 824-9080
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A86456 California

Profile Details

NPI number 1396758942
LBN Legal business name Moghadam, Mariam S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Mar 7th, 2023 - 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 1396758942 NPPES
California Other P01288539/DU5182 RAILROAD MEDICARE-COLTON
California Other P01288539/DU4034 RAILROAD MEDICARE-COLTON

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