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

Maryam Sadough Shahmirzadi, MD

Individual provider Anatomic Pathology Physician · NPI 1780210617

Maryam Sadough Shahmirzadi, MD is a Pathology in Saint Cloud, Minnesota. Qualified in 2009, 17 years ago. Practices with Medical Faculty Associates, Inc, a 684-clinician group and accepts Medicare assignment. Licensed in District of Columbia.

Years since qualifying
17
Licensed in
DC
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

4340 Clearwater Rd Apt 116
Saint Cloud, MN 56301-9642
Phone: (415) 525-0390
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology Physician (primary) Taxonomy 207ZP0101X · Licence MD6000040 (DC)

Record details

NPI number1780210617
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2020
Last updated in NPPESOctober 21, 2025
Certification dateOctober 21, 2025

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Medical Faculty Associates, Inc — 684 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount