| Doctor Name: | DR. ALTORY MUSNI MIRANDA |
| NPI Number: | 1871891507 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 0101249211 |
| Business Practice Address: | 2237 Rose Family Dr Midlothian, VA - 231124187 |
| Business Phone Number: | 8045546134 |
| Business Fax Number: | 8046817102 |
| Mailing Address: | 2237 Rose Family Dr, MIDLOTHIAN |
| State: | VA |
| Postal Code: | 231124187 |
| Phone Number: | 8045546134 |
| Fax Number: | 8046817102 |
| NPI Enumeration Date: | 03/03/2011 |
| NPI Last Update Date: | 09/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 0101249211 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |