Mirande, Raul A

Mirande, Raul A is an sole proprietor health care provider with primary practice located at 2664 Campus Dr , Klamath Falls OR 97601-1105. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mirande, Raul A can be contacted via phone (541) 880-2881.

Contact Information

Primary practice address
2664 Campus Dr Klamath Falls OR 97601-1105
Phone: (541) 880-2881
Fax: (541) 883-2250
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD19229 Oregon

Profile Details

NPI number 1518999259
LBN Legal business name Mirande, Raul A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2006
Last updated Aug 21st, 2009 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518999259 NPPES
Other 020027915 RAILROAD MEDICARE
MEDICAID 073143 RAILROAD MEDICARE

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