Individual
MARYAM SHIRAZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-2908
(312) 695-0419
Mailing address
622 W 168TH ST, NEW YORK, NY 10032-3720
(347) 408-8494
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036149334
IL
Other
Enumeration date
03/21/2013
Last updated
08/21/2019
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