# MIRAGE IMAGING PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902268733
- **Authorized official:** BULLAND ZAMAN MD (PRESIDENT)
- **Authorized official phone:** (973) 931-6299

## Contact information

- **Practice address:** 15001 NATIONAL AVENUE, LOS GATOS, CA 95032
- **Practice address phone:** (408) 356-7226
- **Practice address fax:** (408) 356-7224
- **Mailing address:** 15001 NATIONAL AVENUE, LOS GATOS, CA 95032
- **Mailing address phone:** (973) 931-6299
- **Mailing address fax:** (408) 356-7224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/22/2016
- **Last updated:** 02/24/2023