Mira Integrative Clinic

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

MIRA INTEGRATIVE CLINIC

Practice address

2557 Chain Bridge Rd
Vienna, VA 22181-5517

Phone

(703) 705-7555

NPI assigned

Sep 26, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Maysoun Hamid Mira, MD, MSA, L.ACNPI 1558084459

Title

Acupuncturist

Phone

(703) 732-9915

Specialties & licenses 1

Addresses

Practitioners 2

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

• Maysoun Hamid Mira, MD, MSA, L.AC

  • Acupuncturist
  • Vienna, VA
  • NPI 1558084459
  NPD Authorized official
• Khalid Azam Alkimawi, MD

  • Gastroenterology Physician
  • Indianapolis, IN
  • NPI 1609022094
  NPD (past)

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1346963253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 CHAIN BRIDGE RD",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221815302",
            "telephone_number": "703-732-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2557 CHAIN BRIDGE RD",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221815517",
            "telephone_number": "703-705-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRA INTEGRATIVE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-25",
        "status": "A",
        "authorized_official_last_name": "MIRA",
        "authorized_official_first_name": "MAYSOUN",
        "authorized_official_middle_name": "HAMID",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "703-732-9915",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MSA, L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carson Miller, RBT
• Elizabeth Downey Milone, PSY.D.
• Kendra V Mingo, PA
• Osmaan Minhas, D.O.
• Carla M Minosh, NP
• Maysoun Hamid Mira, MD, MSA, L.AC
• Diana V Miranda, BT
• Ali Mirebrahimi-Tafreshi, M.D
• Mirena Home Care
• Farahgul Mirza

• Acupuncturist in Vienna, VA
• Providers in Vienna, VA by specialty
• Acupuncturist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.