DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. AHMADREZA MIRMIRAN, M.D.

Active Sole Proprietor

DR. AHMADREZA MIRMIRAN, M.D. is a Hematology healthcare provider located in TARZANA, California. NPI 1376980078 is currently active in the NPPES registry. Verify at CMS.

Hematology · TARZANA, CA

Registration Details

NPI Number
1376980078
Provider Type
Individual
Gender
Male
NPI Issued
Jun 4, 2013 (13.234292654685 yrs)
Last Updated
Feb 2, 2017
Licenses
30995 (OK)
0439448 (KS)
Sole Proprietor
Yes

Practice Information

Address
5123 GARDEN GROVE AVE
TARZANA, CA, 913564340
Browse CA providers · Browse ZIP 91356
Phone
8189833131
Primary Specialty
Hematology
207RH0002X
Additional Specialty
Hematology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.