Miao Tian
Pathology, Anatomic Pathology & Clinical Pathology in Modesto, CA. Individual provider (NPI-1).
NPI number1982127452
StatusActive
Last updated in NPPESApr 15, 2022
Details
- NPI
- 1982127452
- Entity type
- Individual (NPI-1)
- Name
- Miao Tian
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 17, 2017
- Certification date
- Apr 15, 2022
- Last updated
- Apr 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | A166044 | CA | Yes |
Practice location
4301 Northstar WayModesto, CA 95356
Phone 209-577-1200 · Fax 209-577-6517
Mailing address
4301 Northstar WayModesto, CA 95356
Phone 209-577-1200 · Fax 209-577-6517
Other practice locations
1100 N State St
Los Angeles, CA 90033-5000
Los Angeles, CA 90033-5000
Phone 323-409-5126
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