Organization
DR. TAMADER H. MIRA, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMADER MIRA M.D. (PRESIDENT)
(410) 440-4827
Entity
Organization
Contact information
Practice address
5505 RITCHIE HWY, E, BROOKLYN, MD 21225-3444
(410) 355-0340
(410) 636-3403
Mailing address
5505 RITCHIE HWY, E, BROOKLYN, MD 21225-3444
(410) 355-0340
(410) 636-3403
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
912081500
—
MD
Enumeration date
02/14/2006
Last updated
12/26/2021
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