Mira, Tamader H
Mira, Tamader H is an individual health care provider with primary practice located at 5505 Ritchie Hwy E, Brooklyn MD 21225-3444. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Mira, Tamader H can be contacted via phone (410) 355-0340.Contact Information
Primary practice address
5505 Ritchie Hwy E
Brooklyn MD 21225-3444
Phone: (410) 355-0340
Fax: (410) 636-3403
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D0066019 | Maryland |
Profile Details
| NPI number | 1023205887 |
|---|---|
| LBN Legal business name | Mira, Tamader H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2007 |
| Last updated | Oct 19th, 2011 - about 13 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 | 1023205887 | NPPES |
| Maryland | MEDICAID | 413777900 |
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