# RORY F MIRANDA

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

## Provider details

- **NPI number:** 1922180751
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 01085851A | IN | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | 46343 | WI | — |
| 207V00000X | Obstetrics & Gynecology Physician | 46343-20 | WI | — |

## Other

- **Enumeration date:** 10/20/2006
- **Last updated:** 04/30/2025

## 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 |