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DR. MARYAM MOGHAREHABED MD
NPI 1972299220
Student in an Organized Health Care Education/Training Program in Modesto, CA

Active since April 11, 2023
1400 FLORIDA AVE STE 102, MODESTO, CA 95350(209) 573-6147 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 14, 2024, Apr 11, 2023 (2 updates tracked since 2023).

About Dr. Maryam Mogharehabed Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARYAM MOGHAREHABED MD (NPI 1972299220) is an individual student in an organized health care education/training program in Modesto, California and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1972299220
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. MARYAM MOGHAREHABEDCredential: MD
Location Address1400 FLORIDA AVE STE 102Modesto, CA 95350-4446
Mailing Address1400 Florida Ave Ste 102Modesto, CA 95350-4446 · (209) 573-6181
Phone(209) 573-6147
Sole ProprietorNo
Enumeration DateApril 11, 2023
Last NPPES UpdateMay 14, 20242 updates tracked since enumeration
NPPES CertifiedMay 14, 2024
✔ NPI 1972299220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 13264 (CA)
1400 FLORIDA AVE STE 102, Modesto, CA 95350
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAMERON PEREZ DO
Family Medicine
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 573-6147
ELAINE H WONG MD
Family Medicine
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 573-6147
RAJESH SUPRA
Student in an Organized Health Care Education/Training Program
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 573-6181
VENUS SHABGAHI MD
Family Medicine
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 573-6147
MR. ALEXIS PAUL ISAEV DO
Clinic/Center (Research)
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 573-6181
TAJINDER SINGH DO
Student in an Organized Health Care Education/Training Program
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 573-6147
PETER VIET-QUOC MAI MD
Student in an Organized Health Care Education/Training Program
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (714) 623-4459
CARMEN CASTILLO MD
Family Medicine
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 573-6147

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maryam Mogharehabed's NPI number?

The NPI number for Maryam Mogharehabed is 1972299220. It was assigned to this individual provider in the NPPES registry on April 11, 2023.

Where is Maryam Mogharehabed located?

Maryam Mogharehabed practices at 1400 Florida Ave Ste 102, Modesto, CA 95350. The listed phone number is (209) 573-6147.

What is Maryam Mogharehabed's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Maryam Mogharehabed was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.