Individual
DR. MOHAMMED MIRADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5565 GROSSMONT CENTER DR, STE 211, LA MESA, CA 91942-3020
(619) 644-1483
(619) 644-8724
Mailing address
PO BOX 2353, LA MESA, CA 91943-2353
(619) 644-1483
(619) 644-8724
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A53125
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A531250
—
CA
Enumeration date
06/04/2006
Last updated
03/07/2023
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