Individual
DR. EDWARD P. MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
77 VAN NESS AVENUE, SUITE 302, SAN FRANCISCO, CA 94102
(415) 379-9015
(415) 379-9045
Mailing address
77 VAN NESS AVENUE, SUITE 302, SAN FRANCISCO, CA 94102
(415) 379-9015
(415) 379-9045
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
232599
NY
208200000X
Plastic Surgery Physician
Primary
A82349
CA
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
232599
NY
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
A82349
CA
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
232599
NY
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
A82349
CA
208600000X
Surgery Physician
232599
NY
208600000X
Surgery Physician
A82349
CA
2086S0105X
Surgery of the Hand (Surgery) Physician
232599
NY
2086S0105X
Surgery of the Hand (Surgery) Physician
A82349
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
232599
NY
2086S0122X
Plastic and Reconstructive Surgery Physician
A82349
CA
208D00000X
General Practice Physician
232599
NY
208D00000X
General Practice Physician
A82349
CA
209800000X
Legal Medicine (M.D./D.O.) Physician
A82349
CA
Other
Enumeration date
03/18/2006
Last updated
09/28/2017
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