Organization · Type 2 NPI

Miranda Medical, PLLC

Hematology & Oncology Physician · Twin Falls, ID

NPI number 1053765545 Active

Practice location

706 N College Rd, Suite A
Twin Falls, ID 83301-5824

Fax (208) 329-7159

Mailing address

PO Box 5498
Twin Falls, ID 83303-5498

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003XM-9799 (ID)
Hematology & Oncology Physician 207RH0003XMD151354 (OR)

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

2 other providers at this address

About NPI 1053765545

Miranda Medical, PLLC's National Provider Identifier is 1053765545, issued on Apr 20, 2016. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Twin Falls, ID. The record was last updated on Apr 20, 2016.