Miranda, Samuel P

Miranda, Samuel P is an individual health care provider with primary practice located at 18697 Bagley Rd , Middleburg Heights OH 44130-3417. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Miranda, Samuel P can be contacted via phone (440) 816-6246.

Contact Information

Primary practice address
18697 Bagley Rd Middleburg Heights OH 44130-3417
Phone: (440) 816-6246
Fax: (440) 816-6263
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 35.071414 Ohio

Profile Details

NPI number 1467496489
LBN Legal business name Miranda, Samuel P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Aug 20th, 2020 - about 4 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 1467496489 NPPES
Ohio MEDICAID 2164910

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