Individual
DR. MIGUELA A CANIZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(901) 595-3006
(901) 595-3842
Mailing address
262 DANNY THOMAS PL, MS 515, MEMPHIS, TN 38105-3678
(901) 595-3006
(901) 595-3842
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
29297
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124592
—
MS
05
—
0076023
—
NJ
05
—
009964160
—
AL
05
—
0547141
—
IA
05
—
100011140A
—
OK
05
—
1106674
—
LA
05
—
1165135 00
—
WY
05
—
145066001
—
AR
05
—
177330101
—
TX
05
—
200341290A
—
IN
05
—
205358401
—
MO
05
—
3899243
—
TN
05
—
422400000
—
ME
05
—
64037997
—
KY
05
—
7614121
—
NC
Enumeration date
05/23/2005
Last updated
10/02/2012
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