Provider Demographics
NPI:1922150556
Name:ZARAGOZA, MIRIAM BATOL (MD)
Entity Type:Individual
Prefix:DR
First Name:MIRIAM
Middle Name:BATOL
Last Name:ZARAGOZA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MIRIAM
Other - Middle Name:B
Other - Last Name:ZARAGOZA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD PSC
Mailing Address - Street 1:1406 OXFORD AVE
Mailing Address - Street 2:PO BOX 1421
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352
Mailing Address - Country:US
Mailing Address - Phone:509-627-1853
Mailing Address - Fax:509-946-6342
Practice Address - Street 1:888 SWIFT BLVD
Practice Address - Street 2:KODLEC MEDICAL CENTER
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352
Practice Address - Country:US
Practice Address - Phone:509-946-4611
Practice Address - Fax:509-946-6342
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000298322080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine