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Individual
RORY F MIRANDA
Active
Individual
RORY F MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01085851A
IN
207V00000X
Obstetrics & Gynecology Physician
46343
WI
207V00000X
Obstetrics & Gynecology Physician
46343-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001585792
ANTHEM PTAN
IN
05
—
100433840
—
IN
01
—
2029
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
300053595
—
IN
05
—
34461100
—
WI
Enumeration date
10/20/2006
Last updated
04/30/2025
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