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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

MIRLE R GIRISH, MD
2205 PAVILION DR
SUITE 201B
KINGSPORT, TN37660-4641
 Phone: 423-857-7650
 Fax: 423-857-7655
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 29 Physician/Pulmonary Disease
 

Critical Care Medicine

207RC0200X 81 Physician/Critical Care (Intensivists)
 

Sleep Medicine

207RS0012X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MIRLE R GIRISH · (Male)

NPI Number 1205872876
Credentials MD
Entity Individual
Enumeration date 06/21/2006
Last updated 05/31/2012 - About 4 years ago
Sole proprietor 1 No
Identifiers
TN License # 34140
TN License # 35140
TN Medicaid 3865758
TN Medicare (Unspecified) 3865758 MEDICARE PROVIDER NUMBER
TN Medicare UPIN G95759
TN Other 38657502 MEDICARE PROVIDER NUMBER
Hospital affiliation(s)
  • DICKENSON COMMUNITY HOSPITAL - (Critical Access)
    312 HOSPITAL DRIVE
    CLINTWOOD, VA 24228
  • INDIAN PATH MEDICAL CENTER - (Acute Care)
    2000 BROOKSIDE DR
    KINGSPORT, TN 37660
  • JOHNSON CITY MEDICAL CENTER - (Acute Care)
    400 N STATE OF FRANKLIN RD
    JOHNSON CITY, TN 37604
  • NORTON COMMUNITY HOSPITAL - (Acute Care)
    100 15TH ST NW
    NORTON, VA 24273
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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