Individual provider · Type 1 NPI

Maryam Mogharehabed, MD

Student in an Organized Health Care Education/Training Program · Modesto, CA

NPI number 1972299220 Active

Practice location

1400 Florida Ave Ste 102
Modesto, CA 95350-4446

Call (209) 573-6147 Map

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X13264 (CA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1972299220

Maryam Mogharehabed, MD's National Provider Identifier is 1972299220, issued on Apr 11, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Modesto, CA. The record was last updated on May 14, 2024.