person
Dr. Mira Itani, MD
Student in an Organized Health Care Education/Training Program in Atlanta, Georgia
NPI 1477256048

Mira Itani is a Student in an Organized Health Care Education/Training Program based in Atlanta, GA. Mira Itani practices in Atlanta, GA and has the professional credentials of MD. The NPI Number for Mira Itani is 1477256048 and holds a License No. (Georgia).

The current practice location address for Mira Itani is 4500 N Shallowford Rd, Atlanta, GA and can be reached out via phone at 404-778-6920 and via fax at 404-778-6901.

Location: 4500 N Shallowford Rd, Atlanta, GA, 30338-6476
person
Provider Profile Details
NPI Number
1477256048
Provider Name
Mira Itani
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
4500 N Shallowford Rd, Atlanta, GA, 30338-6476
Phone Number
404-778-6920
Fax Number
404-778-6901
Provider Enumeration Date
03/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4500 N Shallowford Rd
City
State
Zip
30338-6476
Phone Number
404-778-6920
Fax Number
404-778-6901
person
Provider Business Mailing Address Details
Address
4500 N Shallowford Rd
City
State
Zip
30338-6476
Phone Number
404-778-6920
Fax Number
404-778-6901
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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