Individual
VIKTOR MIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1850 STATE ST, NEW ALBANY, IN 47150-4990
(260) 266-2020
(812) 944-7701
Mailing address
1200 MAIN ST APT 2309, DALLAS, TX 75202-4311
(347) 525-7203
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01078521A
IN
207R00000X
Internal Medicine Physician
305464
LA
208M00000X
Hospitalist Physician
Primary
59974
TN
208M00000X
Hospitalist Physician
MD24890
ME
208M00000X
Hospitalist Physician
Q7582
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8LV207
BCBS
TX
Enumeration date
03/28/2013
Last updated
05/25/2022
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