Individual
DR. IMELDA RODRIGUEZ MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7611 S OSBORNE RD, SUITE 106, UPPER MARLBORO, MD 20772-4200
(301) 952-8401
(301) 952-8464
Mailing address
PO BOX 2238, UPPER MARLBORO, MD 20773-2238
(301) 952-8401
(301) 952-8464
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D43276
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137511300
—
MD
Enumeration date
05/27/2006
Last updated
01/16/2008
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