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Individual
DR. MOHAMMAD MAISAMI
Active
Individual
DR. MOHAMMAD MAISAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
D0018915
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
459141100
—
MD
01
—
D0018915
MEDICAL LICENSE
MD
01
—
MO5471
MD CONTROL SBSTANCE
MD
Enumeration date
01/12/2007
Last updated
03/07/2023
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