Individual
MARK MAGHARIOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
490 ILLINOIS STREET, FLOOR 5, SAN FRANCISCO, CA 94143-2510
(415) 353-2020
Mailing address
490 ILLINOIS STREET, FLOOR 6, SAN FRANCISCO, CA 94143-2510
(415) 353-2020
Taxonomy
Speciality
Code
Description
License number
State
207WX0109X
Neuro-ophthalmology Physician
186326
CA
2084N0400X
Neurology Physician
0116032538
VA
2084N0400X
Neurology Physician
A186326
CA
2084N0400X
Neurology Physician
Primary
ME172337
FL
390200000X
Student in an Organized Health Care Education/Training Program
0116032538
VA
Other
Enumeration date
07/12/2019
Last updated
06/13/2025
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