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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARYAM SADOUGH SHAHMIRZADI, MD

Active

MARYAM SADOUGH SHAHMIRZADI, MD is a Anatomic Pathology healthcare provider located in SAINT CLOUD, Minnesota. NPI 1780210617 is currently active in the NPPES registry. Verify at CMS.

Anatomic Pathology · SAINT CLOUD, MN

Registration Details

NPI Number
1780210617
Provider Type
Individual
Gender
Female
NPI Issued
Mar 23, 2020 (6.4073346490597 yrs)
Last Updated
Oct 21, 2025
License
MD6000040 (DC)

Practice Information

Address
4340 CLEARWATER RD APT 116
SAINT CLOUD, MN, 563019642
Browse MN providers · Browse ZIP 56301
Phone
4155250390
Primary Specialty
Anatomic Pathology
207ZP0101X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.