MARYAM TABRIZI (NPI# 1205127404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205127404 |
| Entity Type | Individual |
| Full Name | MARYAM TABRIZI |
| Credential | M.D. |
| Practice Address |
501 W 14th Street Wilmington DE 19801-1013 |
| Mailing Address |
200 Hygeia Drive Suite 2300 Newark DE 19713-2049 |
| Practice Telephone | 3023204410 |
| Practice Fax Number | 7852730524 |
| Mailing Telephone | 7852737571 |
| Mailing Fax Number | 7852730524 |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2017-12-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | C1-0012410 | DE | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 04-37330 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | MEDICARE PTAN | KA2129030 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932402476 | Maryam K. Tabrizi | Family Medicine | 699 W Tefft St Ste A, Nipomo, CA 93444 | 2010-12-06 |
| 1164680708 | Maryam Bita Tabrizi | Surgery | 165 Cambridge St, Suite 810, Boston, MA 02114-2783 | 2008-05-30 |
| 1508086026 | Maryam Tabrizi | Dentist | 3475 West Chester Pike, Suite 230, Newtown Square, PA 19073 | 2007-04-26 |
| Street Address |
501 W 14TH STREET |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19801-1013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972577005 | Sandeep Gupta | Psychiatry & Neurology | 501 W 14th Street, Wilmington Hospital, Department of Psychiatry, Wilmington, DE 19801 | 2006-02-15 |
| 1407393093 | Jennifer Merlino | Nurse Practitioner | 501 W 14th Street, Wilmington, DE 19801-1013 | 2017-01-20 |
| 1285074542 | Richa Yadav | Psychiatry & Neurology | 501 W 14th Street, Wilmington Hospital, Wilmington, DE 19801-1013 | 2013-07-01 |
| 1023364577 | Subani Maheshwari | Psychiatry & Neurology | 501 W 14th Street, 1st Floor, Suite 1e40, Wilmington, DE 19801-1013 | 2012-08-01 |
| 1083681050 | Cynthia Wiles | Psychologist | 501 W 14th Street, 3rd Floor, Wilmington, DE 19801 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386126068 | Meghan Cullen | Specialist/Technologist | 401 Garasches Lane, Wilmington, DE 19801 | 2018-08-30 |
| 1497257851 | Jevs Human Services | Psychologist | 300 Delaware Avenue, Suite 210, Wilmington, DE 19801 | 2018-03-01 |
| 1134627144 | Limen House, Inc | Substance Abuse Rehabilitation Facility | 1104 N. Adams Street / Triad, Wilmington, DE 19801 | 2018-01-24 |
| 1538698980 | Triad Ministry Inc | Community/Behavioral Health | 1104 N. Adams Street, Wilmington, DE 19801 | 2017-06-08 |
| 1649706086 | Fhr -act Program | Health Maintenance Organization | 103a Rogers Rd., Wilmington, DE 19801 | 2017-05-04 |
| 1275080707 | Suzanne Isenberg | Social Worker | 103 Rogers Roaad, Wilmington, DE 19801 | 2016-09-01 |
| 1467815191 | Jenna Leigh Laughlin | Internal Medicine | 501 W 14th St., Wilmington, DE 19801 | 2016-03-31 |
| 1962830430 | Antoinette L. Rodriguez | Counselor | 500 W 10th St., Connections Community Support Programs Inc., Wilmington, DE 19801 | 2013-10-21 |
| 1104173509 | Connections Community Support Programs, Inc. | Clinic/Center | 500 W. 10th Street, Wilmington, DE 19801 | 2012-08-06 |
| 1366719916 | Richard Mclaughlin | Counselor | 109 W. 7th St, Crossroads of Delaware, Wilmington, DE 19801 | 2011-11-28 |
| Find all providers in zip 19801 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324307 | Manuel Roque Sanchez Gonzales Jr. | Pediatrics | Attn: Cindy Chuidian (gme Office), 1600 Rockland Rd, Wilmington, DE 19803 | 2020-04-06 |
| 1558908822 | Margaret Prygon | Pediatrics | 2620 Majestic Dr, Wilmington, DE 19810-2438 | 2019-12-05 |
| 1811309271 | Joanna Laura Shaffer | Pediatrics | 2055 Limestone Rd Ste 300, Wilmington, DE 19808 | 2014-05-20 |
| 1962841841 | Suguna Patibanda | Pediatrics | 2719 Pickering Rd, Wilmington, DE 19808-3636 | 2013-06-24 |
| 1952643314 | H. Leon Aussprung IIi | Pediatrics | 4619 Weldin Rd, Wilmington, DE 19803-4825 | 2013-03-25 |
| 1841556891 | Rachel A Overdevest | Pediatrics | 5500 Skyline Dr Ste 4, Wilmington, DE 19808-1772 | 2012-04-04 |
| 1770851925 | Forrest Glenn Hawkins | Pediatrics | 3 Perth Dr, Wilmington, DE 19803-2612 | 2011-12-02 |
| 1881987311 | Meghan Elizabeth Dougherty | Pediatrics | 2212 S 17th St, Wilmington, NC 28401-7515 | 2011-05-17 |
| 1467787184 | Annuradha Goel | Pediatrics | 1602 Jessup Street, Wilmington, DE 19802-4210 | 2009-10-14 |
| 1205078243 | Wilmington Health Pllc | Pediatrics | 4320 Henson Dr, Wilmington, NC 28405-7424 | 2009-04-06 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19801 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.