Individual
ALAAELDIN AHMED MIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5445 LANARK RD STE 103, CENTER VALLEY, PA 18034-8694
(484) 526-7035
Mailing address
5445 LANARK RD STE 103, CENTER VALLEY, PA 18034-8694
(484) 526-7035
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
4301088157
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD419511
PA
Other
Enumeration date
05/23/2007
Last updated
10/02/2024
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