Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 45393 | MN |
NPI | 1013018209 |
---|---|
Provider Name | Maryam Valapour |
First Address | Minneapolis, MN 55455 |
Second Address | Minneapolis, MN 55455 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2006 |
Last Update Date | 07/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0061455 | (05) | MT |
1032589 | PREFERREDONE (01) | MN |
142961 | UCARE (01) | MN |
1740817 | ARAZ (01) | MN |
48-00244 | MEDICA - CHOICE (01) | MN |
786171100 | (05) | MN |
H74574 | (02) | MN |
HP40592 | HEALTHPARTNERS (01) | MN |