Teran Miranda, Carlos Gustavo

Teran Miranda, Carlos Gustavo is an individual health care provider with primary practice located at 847 W Childs Ave , Merced CA 95341-6862. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Teran Miranda, Carlos Gustavo can be contacted via phone (209) 383-7441.

Contact Information

Primary practice address
847 W Childs Ave Merced CA 95341-6862
Phone: (209) 383-7441
Fax: (209) 383-7813
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35. 099330 Ohio
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A119549 California

Profile Details

NPI number 1649526765
LBN Legal business name Teran Miranda, Carlos Gustavo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2012
Last updated Mar 6th, 2013 - about 11 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 1649526765 NPPES
California Other A119549 CA MEDICAL LICENSE

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