Maryam Mahmoodian, MD Family Medicine LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101255978 Issued in VA

Legal business name

MARYAM MAHMOODIAN, MD FAMILY MEDICINE LLC

Practice address

2015 Reservoir St
Suite 203
Harrisonburg, VA 22801-8781

Phone

(540) 209-0287

NPI assigned

May 17, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maryam Mahmoodian, MD

Title

Physician

Phone

(540) 209-0287

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1508213877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 RESERVOIR ST",
            "address_2": "SUITE 203",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228018781",
            "telephone_number": "540-209-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 RESERVOIR ST",
            "address_2": "SUITE 203",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228018781",
            "telephone_number": "540-209-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYAM MAHMOODIAN, MD FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-17",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "MAHMOODIAN",
        "authorized_official_first_name": "MARYAM",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "540-209-0287",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101255978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Martin, ED. S.
• Joseph A Martin, M.D.
• Megan L Martin, LPC
• Martinsburg Vamc
• Rae Ann Martz, BA
• Hillary Masdon, MS, ATC, LAT
• Henry F Mason Jr., MD
• Holly S Mason, FNP
• Abby J Massey, MD
• Kent B Massie, LPC

• Family Medicine Physician in Harrisonburg, VA
• Providers in Harrisonburg, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.