Individual
DR. MARYAM EMAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3769 CROSSINGS DR STE B, PRESCOTT, AZ 86305-7270
(480) 808-8281
(330) 624-9294
Mailing address
3769 CROSSINGS DR STE B, PRESCOTT, AZ 86305-7270
(928) 888-9750
(928) 888-9790
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101266087
VA
207Q00000X
Family Medicine Physician
Primary
58435
AZ
207Q00000X
Family Medicine Physician
MD047334
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
559428
—
AZ
Enumeration date
04/22/2016
Last updated
05/18/2022
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