Individual
ROYA MIRMIRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
2725 CAPITOL AVE, SUITE 302, SACRAMENTO, CA 95816-6004
(916) 262-9464
(916) 262-9468
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
263
NM
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5246
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000B5859
—
NM
Enumeration date
03/22/2007
Last updated
03/11/2016
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