Individual
DR. MICHAEL C. MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2205 W 36TH AVE, KANSAS CITY, KS 66103-2107
(913) 789-5800
(913) 722-3087
Mailing address
2205 W 36TH AVE, KANSAS CITY, KS 66103-2107
(913) 789-5800
(913) 722-3087
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0800262
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08-00262
LICENSE #
KS
Enumeration date
04/04/2007
Last updated
07/08/2007
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