Miranda, Charles Henry

Miranda, Charles Henry is an individual health care provider with primary practice located at 10103 Ridge Gate Pkwy Suite 114, Lone Tree CO 80124. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Miranda, Charles Henry can be contacted via phone (303) 799-8890.

Contact Information

Primary practice address
10103 Ridge Gate Pkwy Suite 114 Lone Tree CO 80124
Phone: (303) 799-8890
Fax: (303) 799-8891
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 33478 Colorado
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 33478 Colorado

Profile Details

NPI number 1437112000
LBN Legal business name Miranda, Charles Henry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Feb 8th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437112000 NPPES
Colorado MEDICAID 89530063

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