Organization
SHEILA L MIRANDA MD PROFESSIONAL CORPORATION
Active
Organization
SHEILA L MIRANDA MD PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA L MIRANDA MD (OWNER)
(702) 949-0885
Entity
Organization
Contact information
Practice address
9811 W CHARLESTON BLVD, 2543, LAS VEGAS, NV 89117-7528
(702) 949-0885
(702) 951-7579
Mailing address
9811 W CHARLESTON BLVD, SUITE 2543, LAS VEGAS, NV 89117-7528
(702) 256-3637
(702) 256-3307
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11089
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100504137
—
NV
01
—
1770504664
NPI GROUP
NV
01
—
1770504664
GROUP NPI
—
Enumeration date
07/23/2006
Last updated
05/28/2015
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