NPI 1003090812

Imelda Miranda, M.D.

Organisation Internal Medicine Physician Upper Marlboro, MD

Practice location

Address: 7611 S Osborne Rd, Upper Marlboro, MD 20772-4200
Phone: (301) 952-8401
Fax: (301) 952-8464
Mailing address: PO Box 2238, Upper Marlboro, MD 20773-2238

Authorised official

Name: Imelda R Miranda
Title: M.D.
Phone: (301) 952-8401

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence D0043276 (MD)

Other Internal Medicine providers in Maryland →

Registry record

NPI: 1003090812
Entity type: Organization
NPI issued: 28 Dec 2007
Record last updated: 28 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.