Individual
SEYEDEH MARYAM HOSSEINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403-2149
(707) 393-5551
Mailing address
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403-2149
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R76659
AZ
207RC0000X
Cardiovascular Disease Physician
63513
AZ
207RI0011X
Interventional Cardiology Physician
Primary
63513
AZ
Other
Enumeration date
05/16/2018
Last updated
08/29/2025
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