Mira B Aidasani
Nurse Practitioner, Family in Sacramento, CA. Individual provider (NPI-1).
NPI number1982900718
StatusActive
Last updated in NPPESMar 30, 2022
Details
- NPI
- 1982900718
- Entity type
- Individual (NPI-1)
- Name
- Mira B Aidasani
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 26, 2011
- Certification date
- Mar 30, 2022
- Last updated
- Mar 30, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 20469 | CA | Yes |
Other names
- Mira B Aidasani-Diwata (Former Name)
Practice location
2016 Morse AveSacramento, CA 95825-2135
Phone 916-973-5000 · Fax 877-738-4262
Mailing address
2016 Morse AveSacramento, CA 95825-2135
Phone 916-973-5000 · Fax 877-738-4262
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