Surjadi, Miranda E.

Surjadi, Miranda E. is an individual health care provider with primary practice located at 1001 Potrero Ave # 3D7 Sfgh Gastroenterology, San Francisco CA 94110-3518. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Gastroenterology, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Nursing Service Providers / Gastroenterology is her primary health care specialty. Surjadi, Miranda E. can be contacted via phone (415) 206-4776.

Contact Information

Primary practice address
1001 Potrero Ave # 3D7 Sfgh Gastroenterology San Francisco CA 94110-3518
Phone: (415) 206-4776
Fax: (415) 206-5199
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Gastroenterology 163WG0100X RN546712 California
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X NPF11790 California

Profile Details

NPI number 1548384365
LBN Legal business name Surjadi, Miranda E.
Credentials NP MS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2007
Last updated Jul 8th, 2007 - about 17 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 1548384365 NPPES
Other 117390 SFGH INTERNAL USE ONLY-COMMERCIAL NUMBER

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