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MRS. MARYAM MAHMOODIAN M.D. NPI 1013982859


NPI Information

NPI: 1013982859
Provider Name: MRS. MARYAM MAHMOODIAN, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: CENTRAL VIRGINIA HEALTH SERVICES INC.

PECOS Registration: Yes

Address:
2217 PRINCESS ANNE ST
FREDERICKSBURG, VA
ZIP 22401
Phone: (540) 735-0560
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MRS. Maryam Mahmoodian, M.D. is a family medicine in Fredericksburg, VA with 23 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MRS. Maryam Mahmoodian, M.D. NPI is 1013982859. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: SANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Graduation Year:2001

The provider's business location address is:

2217 PRINCESS ANNE ST
FREDERICKSBURG, VA
ZIP 22401-353
Phone: (540) 735-0560
Fax: (540) 735-0567

The NPI 1013982859 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/22/2006 and was last updated on 1/14/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine22338NEBRASKANo
2207Q00000XFamily Medicine35947IOWANo
3207Q00000XFamily Medicine0101255978VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1I27618MEDICARE UPINNEBRASKA
210025024400MEDICAIDNEBRASKA
310025024300MEDICAIDNEBRASKA
4VVD683AMEDICARE OSCAR/CERTIFICATIONVIRGINIA
51013982859MEDICAIDVIRGINIA
6279210MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.