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Individual
MIRFATTAH MIRIAN
Active
Individual
MIRFATTAH MIRIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
250
NC
213ES0131X
Foot Surgery Podiatrist
250
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890812A
—
NC
Enumeration date
03/22/2007
Last updated
02/25/2008
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