Most Relevant Information
Provider Data
| NPI Number: | 1003497678 |
| Provider Name: | MARYAM AHMADI MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207ZP0105X |
| Specialty: | Pathology |
| License Number: | A193544 |
Most Important Dates
| Enumeration Date: | 04/15/2021 |
| Last Updated: | 07/08/2024 |
Provider Practice Location
101 THE CITY DR S
ORANGE
CA
928683201
Practice Location Phone/Fax
| Phone: | 7144568888 |
| Fax: |
Provider Mailing Location
101 THE CITY DR S
ORANGE
CA
928683201
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |