Medan, Mira

Medan, Mira is an individual health care provider with primary practice located at 1600 Holloway Ave Student Health Services San Francisco State University, San Francisco CA 94132-4200. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Medan, Mira can be contacted via phone (415) 338-1351.

Contact Information

Primary practice address
1600 Holloway Ave Student Health Services San Francisco State University San Francisco CA 94132-4200
Phone: (415) 338-1351
Fax: (415) 338-6834
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 435922 California

Profile Details

NPI number 1336118074
LBN Legal business name Medan, Mira
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Jul 8th, 2007 - about 19 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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