Individual
MIRIT AVRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2210 E CALVADA BLVD, PAHRUMP, NV 89048-5804
(775) 727-6400
(775) 727-7543
Mailing address
2210 E CALVADA BLVD, PAHRUMP, NV 89048-5804
(775) 727-6400
(775) 727-7543
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11604
NV
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
11604
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11604
NV LICENSE
NV
01
—
13891
CONTROLLED SUBSTANCE
NV
05
—
1962438861
—
NV
Enumeration date
06/23/2006
Last updated
03/07/2023
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