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

Seyedeh Maryam Bashiri, MD

Individual provider Family Medicine Physician · NPI 1477900850

Seyedeh Maryam Bashiri, MD is a Family Practice in Pine Bluff, Arkansas. Qualified in 2010, 16 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
16
Licensed in
CA
In the registry since
2016
Specialties on file
4
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

4010 S Mulberry St
Pine Bluff, AR 71603-7000
Phone: (870) 541-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 — (707) 932-5281

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence A166072 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence A166072 (CA)
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X · Licence A166072 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1477900850
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 16, 2016
Last updated in NPPESNovember 8, 2021
Certification dateNovember 8, 2021

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesGERIATRIC MEDICINE, HOSPITALIST
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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