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Dr. Maryam Mogharehabed, MD
Student in an Organized Health Care Education/Training Program in Modesto, California
NPI 1972299220

Maryam Mogharehabed is a Student in an Organized Health Care Education/Training Program based in Modesto, CA. Maryam Mogharehabed practices in Modesto, CA and has the professional credentials of MD. The NPI Number for Maryam Mogharehabed is 1972299220 and holds a License No. (California).

The current practice location address for Maryam Mogharehabed is 1400 Florida Ave Ste 102, Modesto, CA and can be reached out via phone at 209-573-6147.

Location: 1400 Florida Ave Ste 102, Modesto, CA, 95350-4446
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972299220
Provider Name
Maryam Mogharehabed
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1400 Florida Ave Ste 102, Modesto, CA, 95350-4446
Phone Number
209-573-6147
Fax Number
Provider Enumeration Date
04/11/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1400 Florida Ave Ste 102
City
Modesto
State
California
Zip
95350-4446
Phone Number
209-573-6147
Fax Number
person
Provider Business Mailing Address Details
Address
1400 Florida Ave Ste 102
City
Modesto
State
California
Zip
95350-4446
Phone Number
209-573-6147
Fax Number
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.
()
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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