Dr. Prospero McCalling Miranda, M.D.
Surgery in Salem, VA. Individual provider (NPI-1).
NPI number1366447443
StatusActive
Last updated in NPPESApr 27, 2010
Details
- NPI
- 1366447443
- Entity type
- Individual (NPI-1)
- Name
- Dr. Prospero McCalling Miranda
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 16, 2005
- Last updated
- Apr 27, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 0101021390 | VA | Yes |
| 207P00000X | Emergency Medicine | 0101021390 | VA |
Practice location
1970 Roanoke BlvdSalem, VA 24153-6404
Phone 540-982-2463
Mailing address
1970 Roanoke BlvdSalem, VA 24153-6404
Phone 540-982-2463
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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