# KOUSHAN SIAMI M.D., APC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** KOUSHAN SIAMI M D APC, Koushan Siami
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124899661
- **Authorized official:** KOUSHAN SIAMI NAMINI MD (OWNER)
- **Authorized official phone:** (760) 864-4163

## Contact information

- **Practice address:** 47120 DUNE PALMS RD STE 109, LA QUINTA, CA 92253-2097
- **Practice address phone:** (760) 864-4163
- **Mailing address:** 5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
- **Mailing address phone:** (800) 288-8325
- **Mailing address fax:** (419) 866-5453

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/12/2024
- **Last updated:** 09/21/2026