National Provider Identifier Database

MIRA B AIDASANI
Family


Contact Information

MIRA B AIDASANI
2016 MORSE AVE
SACRAMENTO, CA95825-2135
Phone: 916-973-5000
Fax: 877-738-4262
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for MIRA B AIDASANI

NPI Number 1982900718
Credentials
Entity Individual
Enumeration date 01/26/2011
Last updated 03/30/2022 - About 4 years ago
Sole proprietor1 No
Identifiers
  • CA License #: 20469
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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