Mirmiran, Alireza
Mirmiran, Alireza is an individual health care provider with primary practice located at 8303 Dodge St Suite # Ll6, Omaha NE 68114-4108. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Mirmiran, Alireza can be contacted via phone (402) 354-4104.Contact Information
Primary practice address
8303 Dodge St Suite # Ll6
Omaha NE 68114-4108
Phone: (402) 354-4104
Fax: (402) 354-8761
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 25152 | Nebraska |
Profile Details
| NPI number | 1801930441 |
|---|---|
| LBN Legal business name | Mirmiran, Alireza |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 16th, 2007 |
| Last updated | Dec 17th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801930441 | NPPES |
| Nebraska | MEDICAID | 10025044300 | |
| Nebraska | MEDICAID | 1801930441 | |
| Nebraska | MEDICAID | 10025775900 |
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