Provider Demographics
NPI:1871931774
Name:KANE, MIRANDA SAVANI (DO)
Entity type:Individual
Prefix:
First Name:MIRANDA
Middle Name:SAVANI
Last Name:KANE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:MIRANDA
Other - Middle Name:
Other - Last Name:SAVANI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:280 W MACARTHUR BLVD RM 118
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611-5642
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:280 W MACARTHUR BLVD RM 118
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94611-5642
Practice Address - Country:US
Practice Address - Phone:805-448-8193
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-13
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program