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MIRANDA MEDICAL PLLC NPI 1053765545


NPI Information

NPI: 1053765545
Provider Name: MIRANDA MEDICAL, PLLC
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
706 N COLLEGE RD
SUITE A
TWIN FALLS, ID
ZIP 83301
Phone: (208) 736-8006
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MIRANDA MEDICAL, PLLC is a hematology and oncology internal medicine in Twin Falls, ID. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. MIRANDA MEDICAL, PLLC NPI is 1053765545. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

706 N COLLEGE RD
SUITE A
TWIN FALLS, ID
ZIP 83301-824
Phone: (208) 736-8006
Fax: (208) 329-7159

The provider's authorized official is A Richard Miranda .
The authorized official title is Ceo and has the following contact phone number (208) 420-1319.

The enumeration date for this NPI number is 4/20/2016 and was last updated on 4/20/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RH0003XInternal MedicineHematology & OncologyMD151354OREGONNo
2207RH0003XInternal MedicineHematology & OncologyM-9799IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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