Individual
EMILY MIRAKIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
20333 W 151ST ST, OLATHE, KS 66061-5350
(913) 791-4357
(913) 791-4435
Mailing address
PO BOX 716, OVERLAND PARK, KS 66201-0716
(913) 642-4900
(913) 381-0979
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1501192
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200477730B
—
KS
01
—
44977016
BCBSKC
KS
Enumeration date
10/30/2007
Last updated
08/08/2011
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