MEDICARE: YANDY MIRANDA M.D

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	207R00000X	Internal Medicine Physician	17096	NV

General Provider Information

NPI Number	:	1366858078
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YANDY MIRANDA M.D

Provider Business Mailing Address
First Line	:	1140 N TOWN CENTER DR STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89144-0605
Country	:	US
Telephone Number	:	702-202-2060
Fax Number	:	702-605-2892

Provider Business Practice Location Address
First Line	:	1140 N TOWN CENTER DR STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89144-0605
Country	:	US
Telephone Number	:	702-202-2060
Fax Number	:	702-605-2892

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/02/2014
Last Update Date	:	10/21/2025

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Directions to “ YANDY MIRANDA M.D” Practice Location

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