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

Dr. Maryam Mogharehabed, MD

Individual provider Family Medicine Physician · NPI 1972299220

Dr. Maryam Mogharehabed, MD is a Family Medicine Physician in Modesto, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1400 Florida Ave Ste 102
Modesto, CA 95350-4446
Phone: (209) 573-6147
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Family Medicine Physician Taxonomy 207Q00000X · Licence 13264 (CA)

Record details

NPI number1972299220
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 11, 2023
Last updated in NPPESMay 14, 2024
Certification dateMay 14, 2024

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