Maryam Hosseini-Dehkordi, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

36305 Issued in MN

Practice address

6440 Nicollet Ave
Richfield, MN 55423-1613

Phone

(612) 861-1622

Fax

(612) 861-2307

NPI assigned

Jan 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Maryam H Dehkordi Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Richfield Medical Group LTD

  • Family Medicine Physician
  • Richfield, MN
  • NPI 1235297342
  NPD
• Fairview Pharmacy Services LLC

  • Non-Pharmacy Dispensing Site
  • Richfield, MN
  • NPI 1295178135
  NPD (past)
• Physician'S Urgent Care P.a.

  • Urgent Care Clinic/Center
  • Edina, MN
  • NPI 1568411601
  NPD (past)

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1861472250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6440 NICOLLET AVE",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554231613",
            "telephone_number": "612-861-1622",
            "fax_number": "612-861-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 NICOLLET AVE",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554231613",
            "telephone_number": "612-861-1622",
            "fax_number": "612-861-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSSEINI-DEHKORDI",
        "first_name": "MARYAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-20",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "36305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "994025100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARYAM",
            "last_name": "DEHKORDI",
            "middle_name": "H",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Susan M Holt, M.D.
• Mark Dennis Homstad, D.P.M.
• Maria Ann Hone, M.S.CCC-SLP
• Beth C Hopkins, LICSW
• Horizon Science Academy Twin Cities
• Housing Support Services, LLC
• Megan Elizabeth Hugill
• Hugo Diaz Mencho (Dba)Transportes Xelaju
• Anna Hultgren, MA OTR/L
• Robika Hundal, DPM

• Family Medicine Physician in Richfield, MN
• Providers in Richfield, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.