Maryam Lee Moghaddam in Maple Grove - Obstetrics & Gynecology

Maryam Lee Moghaddam - NPI 1811958424

Maryam Lee Moghaddam is a Obstetrics & Gynecology in Maple Grove, Minnesota. Maryam Lee Moghaddam practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Maryam Lee Moghaddam is 1811958424. The last update date is 2013-02-07.

Maryam Lee Moghaddam's current location address is 14500 99th Ave N, Maple Grove, Minnesota. You can contact this provider via phone number 7638981000. The mailing address for Maryam Lee Moghaddam is 14500 99th Ave N, Maple Grove, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Maryam Lee Moghaddam
Address 14500 99th Ave N, Maple Grove, Minnesota
Phone Number 7638981000
Fax Number
Sole Proprietor Y
Credentials DO

NPI Number Detail

NPI Number 1811958424
Provider Enumeration Date 2006-03-31
Last Updated Date 2013-02-07

Provider Mailing Address Detail

Address 14500 99th Ave N
City Maple Grove
State Minnesota (MN)
Post Code 553694730
Phone Number 7638981000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Obstetrics & Gynecology
Taxonomy 207V00000X
Licence No 31579
Definition:
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
309397200 MN --

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FAQs about Maryam Lee Moghaddam

What is the Maryam Lee Moghaddam's unique identification number?

The Maryam Lee Moghaddam has been assigned the NPI (National Provider Identifier) Number 1811958424 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Maryam Lee Moghaddam's facilities are geographically located?

The facilities of Maryam Lee Moghaddam are physically situated at the following location: 14500 99Th Ave N, Maple Grove, MN, 553694730.

What is the Maryam Lee Moghaddam's specialty and taxonomy code?

The Maryam Lee Moghaddam's specialty is Obstetrics & Gynecology, and the corresponding taxonomy code is 207V00000X.

On what date did the Maryam Lee Moghaddam receive the assignment of its 1811958424 from the Centers for Medicare & Medicaid Services?

The Maryam Lee Moghaddam was issued its 1811958424 by the Centers for Medicare & Medicaid Services on 2006-03-31.

As of what date was the information regarding Maryam Lee Moghaddam, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Maryam Lee Moghaddam, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-02-07.

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