Individual
MS. MIRANDA E. SURJADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP MS
Contact information
Practice address
1001 POTRERO AVE # 3D7, SFGH GASTROENTEROLOGY, SAN FRANCISCO, CA 94110-3518
(415) 206-4776
(415) 206-5199
Mailing address
1001 POTRERO AVE # 3D7, SFGH GASTROENTEROLOGY, SAN FRANCISCO, CA 94110-3518
(415) 206-4776
(415) 206-5199
Taxonomy
Speciality
Code
Description
License number
State
163WG0100X
Gastroenterology Registered Nurse
RN546712
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
NPF11790
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117390
SFGH INTERNAL USE ONLY-COMMERCIAL NUMBER
—
Enumeration date
03/19/2007
Last updated
09/11/2025
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