MARYAM GHADIMI MAHANI


Address: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746
Phone: 6163637272

MARYAM GHADIMI MAHANI (NPI# 1922256270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922256270
Entity Type Individual
Full Name MARYAM GHADIMI MAHANI
Credential M.D.
Practice Address 3264 N Evergreen Dr Ne
Grand Rapids
MI 49525-9746
Practice Telephone 6163637272
Practice Fax Number 6163615828
Mailing Telephone 6163637272
Mailing Fax Number 6163615828
Enumeration Date 2008-08-28
Last Update Date 2020-06-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085P0229X Radiology
Specialization: Pediatric Radiology
4301093257 MI Allopathic & Osteopathic Physicians
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
4301093257 MI Allopathic & Osteopathic Physicians

Office Location

Street Address 3264 N EVERGREEN DR NE
City GRAND RAPIDS
State MI
Zip Code 49525-9746

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720081649 Jay A Harolds Radiology 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 2005-05-24
1932768058 Spartan Radiology, Inc Radiology 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 2019-06-12
1346737970 Laura Lynn Phillips Nurse Practitioner 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 2018-04-19
1457724965 Kwabea E Agbley Physician Assistant 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 2015-11-05
1104293646 Lauren R Haskin Physician Assistant 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525 2015-09-01
1356743959 Alicia Hock Nurse Practitioner 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 2014-09-25
1063821056 Jeanette Lynn Quick Nurse Practitioner 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 2014-08-05
1881006823 David Mitchell Radiology 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 2014-05-26
1811308588 Michael Thomas Johnson Radiology 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 2014-05-15
1699185561 Michael Vincent Perone Radiology 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 2014-05-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053928507 Therapy With Nicole Pllc Community/Behavioral Health 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 2020-09-29
1184242760 Christian Healthcare Specialists, Inc. Obstetrics & Gynecology 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 2020-07-09
1174154645 Amy Vanderslik Case Manager/Care Coordinator 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 2020-02-03
1477195246 Epic Discoveries LLC Counselor 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 2019-10-14
1598228959 Kim Scherencel Lmsw Counseling Social Worker 3280 Beltline Ne, Grand Rapids, MI 49525 2019-04-11
1821558958 Mindful Trajectories Social Worker 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 2019-03-24
1104380518 Julianne Lettinga, Ma Lpc Counseling Counselor 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 2019-01-30
1396227229 Christopher Scot Doucette Social Worker 2064 Airway St Ne, Grand Rapids, MI 49525 2018-09-06
1568976017 Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry Dentist 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 2017-11-20
1407389604 Kelly Jo Crabb Social Worker 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 2017-04-05
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Taxonomy Information

Taxonomy Code 2085P0229X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Pediatric Radiology

Taxonomy Definition

A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215191325 Jamie L Frost Radiology 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 2008-07-17
1851596654 Matthew E Christy Radiology 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 2007-06-20
1053398412 Wendy Thomas Brown Radiology 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 2005-12-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1851418990 Anastasia Louise Hryhorczuk Radiology 1500 E Medical Center Dr Fl 3, Ann Arbor, MI 48109-5000 2007-03-23
1962583112 Moon-chul Kim Radiology 1764 Stonebridge Dr S, Ann Arbor, MI 48108-8569 2006-10-17
1205916095 Kathleen M Gebarski Radiology 1500 E Medical Center Dr, 3rd Floor Recp. A, Room 3660a, C.s. Mott Children's Hospital, Ann Arbor, MI 48109-4252 2006-10-16
1841761566 Susan Mosier Hamman Radiology 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 2018-12-06
1073807293 Scott J Baker Radiology 3901 Beaubien St Fl 2, Detroit, MI 48201-2119 2011-06-06
1700185246 Karyn Alayne Ledbetter Radiology 2799 W Grand Blvd, Detroit, MI 48202-2608 2011-03-23
1437363066 Rachel M Vanhulle Radiology 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 2007-05-10
1689742322 Denise D. Collins Radiology 2799 W Grand Blvd, Detroit, MI 48202-2608 2006-12-01
1568530202 Gauravi Sabharwal Radiology Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 2006-12-01
1467533448 Peter J Strouse Radiology 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 2006-10-18
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Competitor

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City GRAND RAPIDS
Zip Code 49525

Improve Information

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Dataset Information

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.

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