Individual
FERNANDO T MIRANDA
Active
Individual
FERNANDO T MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
11379
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015731
BCBS OF TN
—
05
—
3174409
—
TN
01
—
3640063
UNITED HEALTHCARE
—
01
—
4082067
AETNA
—
05
—
64923212
—
KY
01
—
830002155
RAILROAD MEDICARE
—
Enumeration date
06/29/2006
Last updated
01/24/2012
Update your record
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