Individual
MIRLE R. GIRISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 W RAVINE RD, KINGSPORT, TN 37660-3837
(423) 224-4000
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101241114
VA
207R00000X
Internal Medicine Physician
35140
TN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0101241114
VA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
35140
TN
207RP1001X
Pulmonary Disease Physician
0101241114
VA
207RP1001X
Pulmonary Disease Physician
Primary
35140
TN
207RS0012X
Sleep Medicine (Internal Medicine) Physician
0101241114
VA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
34140
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205872876
—
VA
05
—
1530376
—
TN
05
—
3865758
—
TN
05
—
3865759
—
TN
05
—
7100113230
—
KY
Enumeration date
06/21/2006
Last updated
12/12/2025
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