Individual
MILAD MIRMOMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
Mailing address
CARILION ROANOKE MEMORIAL HOSPITAL, 1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0098703
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
Other
Enumeration date
03/31/2020
Last updated
08/05/2024
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