Provider Demographics
NPI:1073052221
Name:MCKARY, MIRA (D)
Entity Type:Individual
Prefix:DR
First Name:MIRA
Middle Name:
Last Name:MCKARY
Suffix:
Gender:F
Credentials:D
Other - Prefix:
Other - First Name:MIRA
Other - Middle Name:GEORGE
Other - Last Name:MCKARY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:1 PRESTIGE PL STE 550
Mailing Address - Street 2:
Mailing Address - City:MIAMISBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45342-6115
Mailing Address - Country:US
Mailing Address - Phone:937-762-1310
Mailing Address - Fax:937-522-8068
Practice Address - Street 1:405 W GRAND AVE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45405-7538
Practice Address - Country:US
Practice Address - Phone:937-723-3276
Practice Address - Fax:937-723-3277
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-21
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.015822207R00000X, 208M00000X
IN02006556A207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine