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MARVI MIRANDA M.D.
>> Organized Health Care Education/Training Program >> StudentRegistrant NPI Number: 1609265602
Individual Registrant: MARVI MIRANDA M.D.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
9696 STEPHENS ST DELHI, CA 95315-9550 US
Tel: 209-667-0702 Fax: 209-667-6737
Tel: 209-667-0702 Fax: 209-667-6737
Contact information for business:
PO BOX 3768 MERCED, CA 95344-3768 US
Tel: 209-725-7149 Fax: 209-726-0134
Tel: 209-725-7149 Fax: 209-726-0134
Registration Information:
NPI: 1609265602
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 390200000X | Student Organized Health Care Education/Training Program | CA | |
| Y | 208D00000X | Allopathic & Osteopathic Physicians General Practice | CA | A143356 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
