Organization
MIRAGE IMAGING PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BULLAND ZAMAN MD (PRESIDENT)
(973) 931-6299
Entity
Organization
Contact information
Practice address
15001 NATIONAL AVENUE, LOS GATOS, CA 95032
(408) 356-7226
(408) 356-7224
Mailing address
15001 NATIONAL AVENUE, LOS GATOS, CA 95032
(973) 931-6299
(408) 356-7224
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Enumeration date
03/22/2016
Last updated
02/24/2023
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