MEDICARE: MITERA INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician
2	207VM0101X	Maternal & Fetal Medicine Physician

General Provider Information

NPI Number	:	1225669674
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MITERA INC.

Provider Business Mailing Address
First Line	:	1049 EL MONTE AVE STE C #633
Second Line	:
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94040
Country	:	US
Telephone Number	:	650-646-7575
Fax Number	:

Provider Business Practice Location Address
First Line	:	1049 EL MONTE AVE STE C #633
Second Line	:
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94040
Country	:	US
Telephone Number	:	650-646-7575
Fax Number	:

Authorized Official
Title or Position	:	COO
Name	:	SAMAN ASKARI
Credential	:
Telephone Number	:	650-646-7575

Provider Enumeration Date	:	02/03/2020
Last Update Date	:	02/03/2020

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Directions to “MITERA INC. ” Practice Location

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