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Individual

MARIAM MOSHIRI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-7115
(615) 322-3000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 936-2000

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
MD00045415
WA
2085R0202X
Diagnostic Radiology Physician
Primary
64921
TN
2085R0202X
Diagnostic Radiology Physician
MD00045415
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0231605
L&I
WA
05
1407064421
WA
Enumeration date
05/21/2007
Last updated
03/29/2022
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