Individual
DR. MARYAM KHERAD PEZHOUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
(888) 539-8781
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A141878
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
D81319
MD
Other
Enumeration date
04/17/2011
Last updated
07/27/2021
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