Miranda, Prospero Mccalling

Miranda, Prospero Mccalling is an individual health care provider with primary practice located at 1970 Roanoke Blvd , Salem VA 24153-6404. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Miranda, Prospero Mccalling can be contacted via phone (540) 982-2463.

Contact Information

Primary practice address
1970 Roanoke Blvd Salem VA 24153-6404
Phone: (540) 982-2463
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101021390 Virginia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0101021390 Virginia

Profile Details

NPI number 1366447443
LBN Legal business name Miranda, Prospero Mccalling
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Apr 27th, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366447443 NPPES
Virginia MEDICAID 007338571

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