National Provider Identifier Database

FEDERICO C DE MIRANDA, MD – NPI #1831152495
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

FEDERICO C DE MIRANDA, MD
7303 ROGERS AVE
SUITE 200
FORT SMITH, AR72903-4165
Phone: 479-314-4810
Fax: 479-314-2075
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for FEDERICO C DE MIRANDA

NPI Number 1831152495
Credentials MD
Entity Individual
Enumeration date 04/06/2006
Last updated 02/13/2014 - About 12 years ago
Sole proprietor1 No
Identifiers
  • AR License #: C-5393
  • AR Medicaid: 105837001
  • AR Medicaid: 150597002
  • AR Other: F31893 BCBS CORP #
  • AR Other: 5-1332 BCBS IND. #
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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