IndividualActive
Maryam Ghadimi Mahani, M.D.
NPI 1922256270 · Pediatric Radiology Physician · Grand Rapids, MI
Provider details
- NPI number
- 1922256270
- Entity type
- Individual
- Primary specialty
- Pediatric Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 4301093257 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
3264 N Evergreen Dr Ne
Grand Rapids, MI 49525-9746
Phone: (616) 363-7272
Fax: (616) 361-5828
Approximate (ZIP-level) locationGet directions
Mailing address
3264 N Evergreen Dr Ne
Grand Rapids, MI 49525-9746
Registry dates
- Enumerated
- 2008-08-28
- Last updated
- 2020-06-29
- Certified
- 2020-06-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.