Individual
ROGELIO SARMINTO MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
850 E XENIA DR, STE. 200, FAIRBORN, OH 45324-8747
(937) 352-2870
(937) 352-2874
Mailing address
PO BOX 712893, CINCINNATI, OH 45271-2893
(800) 517-0856
(800) 517-0856
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35035005
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000500363
ANTHEM
OH
05
—
0392856
—
OH
Enumeration date
09/20/2006
Last updated
10/03/2007
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