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NPI Code Detail

MEDICARE: SANAM MIAJI

MEDICARE:   SANAM  MIAJI
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
1363L00000XNurse Practitioner1137112TX

General Provider Information

NPI Number : 1467230383
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANAM MIAJI
Provider Business Mailing Address
First Line : PO BOX 5730
Second Line :
City : BELFAST
State : ME
Zip : 04915-5700
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8811 VILLAGE DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78217-5415
Country : US
Telephone Number : 210-297-2520
Fax Number : 210-297-2539
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2023
Last Update Date : 04/07/2026

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Directions to “ SANAM MIAJI ” Practice Location

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