Maryam Fallahi, MD
Student in an Organized Health Care Education/Training Program in Weatherford, TX. Individual provider (NPI-1).
NPI number1306548078
StatusActive
Last updated in NPPESMar 20, 2023
Details
- NPI
- 1306548078
- Entity type
- Individual (NPI-1)
- Name
- Maryam Fallahi
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 20, 2023
- Certification date
- Mar 18, 2023
- Last updated
- Mar 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
713 E Anderson StWeatherford, TX 76086-5705
Phone 682-582-2922
Mailing address
713 E Anderson StWeatherford, TX 76086-5705
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