Imelda Miranda, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D0043276 Issued in MD

Legal business name

IMELDA MIRANDA, M.D.

Practice address

7611 S Osborne Rd
Upper Marlboro, MD 20772-4200

Phone

(301) 952-8401

Fax

(301) 952-8464

NPI assigned

Dec 28, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Imelda R Miranda, M.D.NPI 1578510681

Title

M.D.

Phone

(301) 952-8401

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Imelda Rodriguez Miranda, M.D.

  • Internal Medicine Physician
  • Upper Marlboro, MD
  • NPI 1578510681

  DC

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1003090812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2238",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207732238",
            "telephone_number": "301-952-8401",
            "fax_number": "301-952-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7611 S OSBORNE RD",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207724200",
            "telephone_number": "301-952-8401",
            "fax_number": "301-952-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMELDA MIRANDA, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "IMELDA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "301-952-8401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0043276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Stephanie Ikenwe
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• Imelda Anyaoha
• Impeccable Healthcare Services, Inc
• In-Home Medical Supplies, LLC
• Incani Health Care
• Individual Unique Care Services
• Infinite Journey NP LLC

• Internal Medicine Physician in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.