MEDICARE: MILES MEDICAL GROUP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215641683
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MILES MEDICAL GROUP LLC

Provider Business Mailing Address
First Line	:	1441 LITTLE RAVEN ST APT 17008
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80202-6449
Country	:	US
Telephone Number	:	973-886-4872
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 N GRANT ST # 4467
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80203-1859
Country	:	US
Telephone Number	:	970-306-6819
Fax Number	:	650-374-5584

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. HANNAH LABOVE
Credential	:	MD
Telephone Number	:	970-306-6819

Provider Enumeration Date	:	01/10/2023
Last Update Date	:	06/30/2025

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Directions to “MILES MEDICAL GROUP LLC ” Practice Location

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