Miranda, Diego A
Miranda, Diego A is an individual health care provider with primary practice located at 2449 Hospital Drive Suite 340, Bossier City LA 71111. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Miranda, Diego A can be contacted via phone (318) 212-7841.Contact Information
Primary practice address
2449 Hospital Drive Suite 340
Bossier City LA 71111
Phone: (318) 212-7841
Fax: (318) 212-7768
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 199959 | Louisiana |
Profile Details
| NPI number | 1104845080 |
|---|---|
| LBN Legal business name | Miranda, Diego A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Jan 16th, 2009 - about 15 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 | 1104845080 | NPPES |
| Louisiana | MEDICAID | 1478997 |
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