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Individual
MIRA RAJU BRAHMBHATT
Active
Individual
MIRA RAJU BRAHMBHATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MP00524400
NJ
363A00000X
Physician Assistant
65059
CA
363A00000X
Physician Assistant
Primary
PA14849
TX
363A00000X
Physician Assistant
PATEMP
TX
Other
Enumeration date
07/16/2019
Last updated
02/23/2026
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