Rahnemun, Maryam
Rahnemun, Maryam is an individual health care provider with primary practice located at 14150 Culver Dr Ste 105 , Irvine CA 92604-0322. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Rahnemun, Maryam can be contacted via phone (949) 612-6050.Contact Information
Primary practice address
14150 Culver Dr Ste 105
Irvine CA 92604-0322
Phone: (949) 612-6050
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A53377 | California |
Profile Details
| NPI number | 1114921673 |
|---|---|
| LBN Legal business name | Rahnemun, Maryam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2005 |
| Last updated | Oct 8th, 2019 - about 6 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 | 1114921673 | NPPES |
| California | MEDICAID | 00A533770 |
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