Individual
MARYAM SADOUGH SHAHMIRZADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4340 CLEARWATER RD APT 116, SAINT CLOUD, MN 56301-9642
(415) 525-0390
Mailing address
4340 CLEARWATER RD APT 116, SAINT CLOUD, MN 56301-9642
(415) 525-0390
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
MD6000040
DC
Other
Enumeration date
03/23/2020
Last updated
10/21/2025
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