MARYAM GHOLIZADEH M.D. NPI 1194724583

NPI Information

Maryam Gholizadeh, M.D. is a pediatric surgery surgery in Orange, CA with 30 years of experience. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. Maryam Gholizadeh, M.D. NPI is 1194724583. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1994

The provider's business location address is:

1120 W LA VETA AVE
STE. 100
ORANGE, CA
ZIP 92868-231
Phone: (714) 289-4704

The NPI 1194724583 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 7/18/2005 and was last updated on 7/8/2007.

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:

Other Identifiers

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

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