Provider / Organization | NPI | Date Certified |
---|---|---|
MITCHELL GORDON MIGLIS | 1972779411 | 2023-11-10 |
Mitchell G Miglis [M] graduated in 2007 from University Of Florida College Of Medicine and primarily specializes in Neurology.
Mitchell Gordon Miglis is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1972779411. Registration indicates Mitchell Gordon Miglis is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Psychiatry & Neurology (Psychiatry & Neurology: Neurology, ) (Specialist Network, ) (Psychiatry & Neurology Neurology, Allopathic & Osteopathic Physicians) (Psychiatry & Neurology, ) (Allopathic & Osteopathic Physicians, Psychiatry & Neurology) (Psychiatry & Neurology: Sleep Medicine, ) (All Other Specialties & Provider Types, ) (Psychiatry & Neurology Sleep Medicine, Allopathic & Osteopathic Physicians) (Psychiatry & Neurology, ) (Allopathic & Osteopathic Physicians, Psychiatry & Neurology) (Psychiatry & Neurology: Clinical Neurophysiology, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Psychiatry & Neurology Clinical Neurophysiology, Allopathic & Osteopathic Physicians) (Psychiatry & Neurology, )
PECOS ID | 5698915304 |
Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
Entity Type | Individual |
Provider Name | Mitchell Gordon Miglis MD |
Practice Office Address | 300 PASTEUR DR STANFORD, CA US |
Practice Office Telephone | 6507234000 |
Mailing Address | 300 PASTEUR DR STANFORD, CA 943052200 US |
Business Telephone | 6507234000 |
Address | City / State | Phone / Fax |
---|---|---|
213 Quarry Rd | Palo Alto, CA 943041416 | 6507236469 |
450 Broadway St | Redwood City, CA 940633132 | 6507236601 |
Code | Practice | License No State |
---|---|---|
2084N0400X | Allopathic & Osteopathic Physicians Psychiatry & Neurology Psychiatry & Neurology: Neurology Specialist Network Psychiatry & Neurology Neurology Allopathic & Osteopathic Physicians Psychiatry & Neurology | A121294
CA |
2084S0012X | Allopathic & Osteopathic Physicians Psychiatry & Neurology Psychiatry & Neurology: Sleep Medicine All Other Specialties & Provider Types Psychiatry & Neurology Sleep Medicine Allopathic & Osteopathic Physicians Psychiatry & Neurology | A121294
CA |
2084N0600X PRIMARY | Allopathic & Osteopathic Physicians Psychiatry & Neurology Psychiatry & Neurology: Clinical Neurophysiology Behavioral Health/Substance Abuse/Psychiatry Psychiatry & Neurology Clinical Neurophysiology Allopathic & Osteopathic Physicians Psychiatry & Neurology | A121294
CA |