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

DR. MARYAM LEE MOGHADDAM, DO

Active Sole Proprietor

DR. MARYAM LEE MOGHADDAM, DO is a Obstetrics & Gynecology healthcare provider located in MAPLE GROVE, Minnesota. NPI 1811958424 is currently active in the NPPES registry. Verify at CMS.

Obstetrics & Gynecology · MAPLE GROVE, MN

Registration Details

NPI Number
1811958424
Provider Type
Individual
Gender
Female
NPI Issued
Mar 31, 2006 (20.350324826077 yrs)
Last Updated
Feb 7, 2013
License
31579 (MN)
Sole Proprietor
Yes

Practice Information

Address
14500 99TH AVE N
MAPLE GROVE, MN, 553694730
Browse MN providers · Browse ZIP 55369
Phone
7638981000
Primary Specialty
Obstetrics & Gynecology
207V00000X

Other Obstetrics & Gynecology Providers in MAPLE GROVE, MN

Name Credential NPI
DR. BRIGETTE BETH RITTER MD 1295711273
APRIL M SHERREN 1689651192
THERESA S. COVERT M.D. 1972581148
KRISTEN R NELSON MD 1891760823
LESLEE J JAEGER M.D. 1346286838
KATHRYN G FLORY MD 1013953488
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.