Individual
FERNANDO T MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3443 DICKERSON PIKE, STE 760, NASHVILLE, TN 37207-2519
(615) 860-1556
(615) 860-1558
Mailing address
PO BOX 440100, NASHVILLE, TN 37244-0100
(615) 329-0570
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
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