Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARYAM SADOUGH SHAHMIRZADI, MD
ActiveAnatomic Pathology · SAINT CLOUD, MN
Registration Details
- NPI Number
- 1780210617
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 23, 2020 (6.1305805016133 yrs)
- Last Updated
- Oct 21, 2025
- License
-
MD6000040 (DC)
Practice Information
- Address
-
4340 CLEARWATER RD APT 116SAINT CLOUD, MN, 563019642Browse 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.