Girish, Mirle R.
Girish, Mirle R. is an individual health care provider with primary practice located at 2205 Pavilion Dr Suite 201B, Kingsport TN 37660-4641. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Girish, Mirle R. can be contacted via phone (423) 857-7650.Contact Information
Primary practice address
2205 Pavilion Dr Suite 201B
Kingsport TN 37660-4641
Phone: (423) 857-7650
Fax: (423) 857-7655
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 35140 | Tennessee |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 35140 | Tennessee |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 34140 | Tennessee |
Profile Details
| NPI number | 1205872876 |
|---|---|
| LBN Legal business name | Girish, Mirle R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Feb 2nd, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205872876 | NPPES |
| Virginia | MEDICAID | 1205872876 | |
| Virginia | MEDICAID | 1530376 | |
| Virginia | MEDICAID | 3865759 | |
| Virginia | MEDICAID | 3865758 | |
| Virginia | MEDICAID | 7100113230 |
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