Individual
MAHBOOBEH MEMARSADEGHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101257192
VA
207R00000X
Internal Medicine Physician
Primary
D0078104
MD
Other
Enumeration date
06/27/2014
Last updated
06/01/2018
Update your record
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