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Azadeh Mirbod, MD
Student in an Organized Health Care Education/Training Program in Richland, Washington
NPI 1598349151

Azadeh Mirbod is a Student in an Organized Health Care Education/Training Program based in Richland, WA. Azadeh Mirbod practices in Richland, WA and has the professional credentials of MD. The NPI Number for Azadeh Mirbod is 1598349151 and holds a License No. ML61166819 (Washington).

The current practice location address for Azadeh Mirbod is 940 Northgate Dr, Richland, WA and can be reached out via phone at 509-942-2516 and via fax at 509-942-2527.

Location: 940 Northgate Dr, Richland, WA, 99352-9532
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598349151
Provider Name
Azadeh Mirbod
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
940 Northgate Dr, Richland, WA, 99352-9532
Phone Number
509-942-2516
Fax Number
509-942-2527
Provider Enumeration Date
05/10/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
940 Northgate Dr
City
Richland
State
Washington
Zip
99352-3505
Phone Number
509-942-2516
Fax Number
509-942-2527
person
Provider Business Mailing Address Details
Address
940 Northgate Dr
City
Richland
State
Washington
Zip
99352-3505
Phone Number
509-942-2516
Fax Number
509-942-2527
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
ML61166819 (Washington)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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