# MIRA TADROS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1467984864
- **Gender:** F
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 20A16953 | CA | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | 322599 | NY | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | A16953 | CA | — |

## Other

- **Enumeration date:** 04/03/2017
- **Last updated:** 06/23/2023