Crystal L Smalls Gonzalez
IMELDA MIRANDA, M.D.


Address: 7611 S Osborne, Suite 106, Uppr Marlboro, MD 20772-4200
Phone: 3019528401

Crystal L Smalls Gonzalez (NPI# 1689624843, PAC ID# 4183695026) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.

Physician Overview

Nation Provider ID (NPI) 1689624843
PAC ID by PECOS 4183695026
Professional Enrollment ID I20040804000185
Full Name Crystal L Smalls Gonzalez
Organization Legal Name IMELDA MIRANDA, M.D.
Address 7611 S Osborne
Suite 106
Uppr Marlboro
MD 20772-4200
Phone Number 3019528401
Gender F
Credential PA
Graduation Year 1990
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 3274544960
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
7611 S Osborne, Suite 106, Uppr Marlboro, MD 20772-4200 3019528401 IMELDA MIRANDA, M.D.
7611 S Osborne, Uppr Marlboro, MD 20772-4200 3019528401 IMELDA MIRANDA, M.D.

Organization Information

Organization Legal Name IMELDA MIRANDA, M.D.
Physicians 1

Office Location

Street Address 7611 S OSBORNE
SUITE 106
City UPPR MARLBORO
State MD
Zip 20772-4200

Physicians in the same location

Name Specialty Organization Address
Imelda R Miranda Internal Medicine 7611 S Osborne, Suite 106, Uppr Marlboro, MD 20772-4200

Physicians in the same zip code

Name Specialty Organization Address
Yetunde Aderibigbe Sannoh Internal Medicine 9440 Marlboro Pike, Upper Marlboro, MD 20772-2032
Alain Champaloux Family Medicine 14314 Old Marlboro Pike, Upper Marlboro, MD 20772-2840
Joshua Nosa Okundaye Clinical Social Worker 14526 Church St, Upper Marlboro, MD 20772-3040
Pamela E Marcus Certified Clinical Nurse Specialist (cns) 14460 Old Mill Rd, Suite 201, Upper Marlboro, MD 20772-3092
Janet D Crockett Clinical Social Worker 3908 Saddlebrook Ct, Upper Marlboro, MD 20772-3320
Rafik A Tarfa Physical Therapy 9500 Pennsylvania Ave, Suite 6, Upper Marlboro, MD 20772-3658
Sherri Crable Physical Therapy Sports Pro Physical Therapy LLC 9440 Pennsylvania Ave, Suite 215, Upper Marlboro, MD 20772-3659
Sisom Osia Internal Medicine 9628 Marlboro Pike, Upper Marlboro, MD 20772-3670
Martin Giller Psychiatry 9654 Pennsylvania Ave, Upper Marlboro, MD 20772-3670
Ben P Binghay Internal Medicine 9654 Pennsylvania Ave, Upper Marlboro, MD 20772-3670
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Competitor

Search similar physicians

City UPPR MARLBORO
Zip Code 20772
Specialty PHYSICIAN ASSISTANT
City + Specialty UPPR MARLBORO + PHYSICIAN ASSISTANT

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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