Search › California › 363LF0000X
Miranda Tadevich
NPI 1669107512 · on the registry since 2022
Practice
- Address
- 445 W Eaton Ave
Tracy, CA 95376 - Phone
- (209) 830-4075
- Organisation at this address
- Sutter Valley Medical Foundation
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 29
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363L00000X
- Licence states on file
- CO, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-05-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California