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Individual

MARYAM HADIASHAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
905 MAPLE ST FL 4, REDWOOD CITY, CA 94063-2057
(650) 299-2015
Mailing address
901 MARSHALL ST FL 3, REDWOOD CITY, CA 94063-2026
(650) 299-2606

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
41054
AZ
207V00000X
Obstetrics & Gynecology Physician
MD169778
OR
207VG0400X
Gynecology Physician
Primary
A105164
CA
207VG0400X
Gynecology Physician
MD169778
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500677509
OR
01
81779
TRAINING PERMIT
Enumeration date
04/22/2008
Last updated
04/13/2023
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