Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Maryam Lee Moghaddam, DO

Individual provider Obstetrics & Gynecology Physician · NPI 1811958424

Dr. Maryam Lee Moghaddam, DO is an Obstetrics/Gynecology in Maple Grove, Minnesota. Graduated from University of Iowa, Rj & L Carver College of Medicine in 1984, 42 years ago. Practices with Fairview Express Care, a 1,964-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
42
Trained at
University of Iowa, Rj & L Carver College of Medicine
Licensed in
MN
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

14500 99th Ave N
Maple Grove, MN 55369-4730
Phone: (763) 898-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 31579 (MN)

Record details

NPI number1811958424
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 31, 2006
Last updated in NPPESFebruary 7, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated 1984 (42 years in practice)
Group practice Fairview Express Care — 1964 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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