Individual
DANIEL P. MIRDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 TRANCAS ST STE 256, NAPA, CA 94558-2908
(707) 253-7161
(707) 253-0476
Mailing address
1100 TRANCAS ST STE 256, NAPA, CA 94558-2908
(707) 253-7161
(707) 253-0476
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
G57247
CA
207RH0003X
Hematology & Oncology Physician
Primary
G57247
CA
207RX0202X
Medical Oncology Physician
G57247
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G572470
—
CA
Enumeration date
02/24/2006
Last updated
11/08/2021
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