DR. IMELDA RODRIGUEZ MIRANDA (NPI# 1578510681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578510681 |
| Entity Type | Individual |
| Full Name | DR. IMELDA RODRIGUEZ MIRANDA |
| Credential | M.D. |
| Practice Address |
7611 S Osborne Rd Suite 106 Upper Marlboro MD 20772-4200 |
| Mailing Address |
Po Box 2238 Upper Marlboro MD 20773-2238 |
| Practice Telephone | 3019528401 |
| Practice Fax Number | 3019528464 |
| Mailing Telephone | 3019528401 |
| Mailing Fax Number | 3019528464 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2008-01-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | D43276 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 137511300 | 05 |
| Street Address |
7611 S OSBORNE RD SUITE 106 |
| City | UPPER MARLBORO |
| State | MD |
| Zip Code | 20772-4200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922538107 | Christina Coleman | Dentist | 7611 S Osborne Rd, Upper Marlboro, MD 20772-4200 | 2017-06-19 |
| 1417356114 | Shayla Denise Deal | Dentist | 7611 S Osborne Rd, Suite 102, Upper Marlboro, MD 20772-4200 | 2014-08-19 |
| 1528364593 | Comfort Home Care LLC | Nursing Care | 7611 S Osborne Rd, Suite 201, Upper Marlboro, MD 20772-4200 | 2011-02-08 |
| 1003090812 | Imelda Miranda, M.d. | Internal Medicine | 7611 S Osborne Rd, Upper Marlboro, MD 20772-4200 | 2007-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355077 | Doris Lynn Perkins | Pharmacist | 5700 Southeast Crain Hwy, Upper Marlboro, MD 20772 | 2020-10-31 |
| 1730790221 | Creative Mind Therapy | Community/Behavioral Health | 12419 Dorsey Ln, Upper Marlboro, MD 20772 | 2020-08-10 |
| 1932727369 | Shaquitta Morton | Behavior Technician | 9440 Marlboro Pike 100, Upper Marlboro, MD 20772 | 2020-07-13 |
| 1760022958 | Keri Daniel | Nurse Practitioner | 9723 Frank Tippett Rd, Upper Marlboro, MD 20772 | 2020-01-15 |
| 1932668134 | Dentistry for Children of Maryland, LLC | Clinic/Center | 9616 Marlboro Pike, Upper Marlboro, MD 20772 | 2019-03-18 |
| 1033673918 | Shonte Renee Drakeford | Nurse Practitioner | 6610 Woodyard Road, Upper Marlboro, MD 20772 | 2019-01-25 |
| 1902391261 | Myenne Hanson | Home Health Aide | 5002 Ashford Dr, Upper Marlboro, MD 20772 | 2018-06-28 |
| 1659884849 | Clement Okehie | Home Health Aide | 13939 Bishops Bequest Rd, Upper Marlboro, MD 20772 | 2017-11-09 |
| 1497264766 | Fatu Barrie | Technician | 11112 Cranfod Drive, Upper Marlboro, MD 20772 | 2017-09-29 |
| 1801315080 | Hope Academy & Nursing Services | Nursing Care | 14101 Christian Street, Upper Marlboro, MD 20772 | 2017-09-19 |
| Find all providers in zip 20772 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275947467 | Mamata Chand | Internal Medicine | 1221 Mercantle Lane, Largo Medical Center, Upper Marlboro, MD 20774 | 2014-06-16 |
| 1760570923 | Delbert Lee Perkins | Internal Medicine | 9560 Penn Ave, Suite 106, Upper Marlboro, MD 20772 | 2006-10-11 |
| 1013014802 | Eugene Aloysius Magee Iv | Internal Medicine | 9662 Pennsylvania Ave, Upper Marlboro, MD 20772-3670 | 2006-09-20 |
| 1689621203 | Frank & Grace, Inc. | Internal Medicine | 9628 Marlboro Pike, Upper Marlboro, MD 20772 | 2006-05-28 |
| 1568075737 | Maryland Primary Care and Wellness | Internal Medicine | 14314 Old Marlboro Pike, Upper Marlboro, MD 20772-2840 | 2020-08-27 |
| 1821607474 | Aet Enterprises LLC | Internal Medicine | 14314 Old Marlboro Pike, Upper Marlboro, MD 20772-2840 | 2020-07-29 |
| 1679958565 | Joy I Onaghise | Internal Medicine | 1221 Mercantile Ln, Upper Marlboro, MD 20774 | 2015-07-21 |
| 1669764767 | Nicole I Cooper | Internal Medicine | 1221 Mercantile Ln, Upper Marlboro, MD 20774-5374 | 2011-05-06 |
| 1528200409 | Yonas Tamrat | Internal Medicine | 1221 Mercantile Ln, Upper Marlboro, MD 20774-5374 | 2009-03-24 |
| 1205012309 | Alexis Gorden Mccary | Internal Medicine | 1221 Mercantile Lane, Upper Marlboro, MD 20774 | 2008-01-18 |
| Find all providers in UPPER MARLBORO | ||||
| City | UPPER MARLBORO |
| Zip Code | 20772 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.