Christian Erin Faulkenberry Miranda, MD | |
290 N Wayte Ln # 1300, Fresno, CA 93701-2124 | |
(866) 342-6012 | |
(866) 342-6012 |
Full Name | Christian Erin Faulkenberry Miranda |
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Gender | Female |
Speciality | Pediatrics |
Location | 290 N Wayte Ln # 1300, Fresno, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104028406 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A95426 (California) | Primary |
Entity Name | Community Foundation Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811258510 PECOS PAC ID: 0345406294 Enrollment ID: O20120723000387 |
Entity Name | University Faculty Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073911137 PECOS PAC ID: 6507181708 Enrollment ID: O20150211000164 |
Mailing Address | Practice Location Address |
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Christian Erin Faulkenberry Miranda, MD 2625 E Divisadero St, Fresno, CA 93721-1431 Ph: (559) 443-2682 | Christian Erin Faulkenberry Miranda, MD 290 N Wayte Ln # 1300, Fresno, CA 93701-2124 Ph: (866) 342-6012 |
Wilfred Derksen, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1570 E Herndon Ave, Fresno, CA 93720 Phone: 559-437-7300 Fax: 559-437-7153 | |
Dr. Jean Rankin Butterfield, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2719 N Air Fresno Dr, Fresno, CA 93727 Phone: 559-600-8918 | |
Dr. Mary A Gonzalez-howard, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4770 W Herndon Ave, Suite 108, Fresno, CA 93722 Phone: 559-256-7990 Fax: 559-256-7991 | |
Nilufer Raj Goyal-shockley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7300 N Fresno St, Fresno, CA 93720 Phone: 559-448-4500 | |
Dr. Nitika Narinder Dhir, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 155 N Fresno St, Ste 326, Fresno, CA 93701 Phone: 559-499-6466 | |
Denise Der Knudson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4785 N 1st St, Fresno, CA 93726 Phone: 559-448-4894 | |
Reem Aboushaar, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2823 Fresno St, Fresno, CA 93721 Phone: 559-443-2682 Fax: 559-443-2681 |