Individual
DR. MARYAM ROSTAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13609 CARROLLTON BLVD, SUITE 11, CARROLLTON, VA 23314-3214
(757) 238-8751
(757) 238-8750
Mailing address
13609 CARROLLTON BLVD, SUITE 11, CARROLLTON, VA 23314-3214
(757) 238-8751
(757) 238-8750
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101246234
VA
Other
Enumeration date
08/06/2009
Last updated
02/21/2011
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