Individual
DANIAL MIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7300 N FRESNO STREET, KAISER PERMANENTE, DEPARTMENT OF MEDICINE, FRESNO, CA 93720
(559) 448-4500
Mailing address
8104 NORTH BOND STREET, APT 243, FRESNO, CA 93720
(626) 379-7510
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A196152
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MT219436
PA
Other
Enumeration date
06/28/2019
Last updated
08/23/2024
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