Organization
IMELDA MIRANDA, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IMELDA R MIRANDA M.D. (M.D.)
(301) 952-8401
Entity
Organization
Contact information
Practice address
7611 S OSBORNE RD, UPPER MARLBORO, MD 20772-4200
(301) 952-8401
(301) 952-8464
Mailing address
PO BOX 2238, UPPER MARLBORO, MD 20773-2238
(301) 952-8401
(301) 952-8464
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0043276
MD
Other
Enumeration date
12/28/2007
Last updated
12/28/2007
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