Individual
MAHSHID KAMYAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4420 76TH ST NE, MARYSVILLE, WA 98270-3726
(360) 651-7495
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(360) 651-7495
(360) 651-7485
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60910645
WA
207Q00000X
Family Medicine Physician
ME119013
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011055200
—
FL
Enumeration date
03/25/2014
Last updated
11/08/2021
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