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Organization
MARIAM MOGHADAM, M.D., INC.
Active
Organization
MARIAM MOGHADAM, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAM SUSAN MOGHADAM M.D. (PRESIDENT)
(951) 769-2222
Entity
Organization
Contact information
Practice address
81 HIGHLAND SPRINGS AVE., SUITE #306, BEAUMONT, CA 92223-3170
(951) 769-2222
(951) 769-2204
Mailing address
P.O. BOX 8307, REDLANDS, CA 92375-1507
(951) 769-2222
(951) 769-2204
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A86456
CA
Other
Enumeration date
06/12/2012
Last updated
03/07/2023
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