| Maryam Mahmoodian, Md Family Medicine Llc | |
|
2015 Reservoir St Suite 203 Harrisonburg VA 22801-8781 | |
| (540) 209-0287 | |
| Not Available |
| Full Name | Maryam Mahmoodian, Md Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2015 Reservoir St, Harrisonburg, Virginia |
| Authorized Official Name and Position | Maryam Mahmoodian (PHYSICIAN) |
| Authorized Official Contact | 5402090287 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maryam Mahmoodian, Md Family Medicine Llc 2015 Reservoir St Suite 203 Harrisonburg VA 22801-8781 Ph: (540) 209-0287 | Maryam Mahmoodian, Md Family Medicine Llc 2015 Reservoir St Suite 203 Harrisonburg VA 22801-8781 Ph: (540) 209-0287 |
| NPI Number | 1508213877 |
|---|---|
| Provider Enumeration Date | 05/17/2016 |
| Last Update Date | 05/17/2016 |
| Medicare PECOS PAC ID | 1557656246 |
|---|---|
| Medicare Enrollment ID | O20160819000320 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508213877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101255978 (Virginia) | Primary |
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