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NPI Code Detail

MEDICARE: SENEQUE MILIEN MD

MEDICARE: SENEQUE MILIEN MD
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
1207Q00000XFamily Medicine Physician01076500AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3000001018834OTHERINANTHEM

General Provider Information

NPI Number : 1518300680
Entity Type Code : Individual
Provider Name (Legal Business Name) : SENEQUE MILIEN MD
Provider Business Mailing Address
First Line : 1100 REID PKWY
Second Line : MEDICAL STAFF SERVICES
City : RICHMOND
State : IN
Zip : 47374-1157
Country : US
Telephone Number : 765-983-3492
Fax Number : 765-983-7958
Provider Business Practice Location Address
First Line : 2001 W 86TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-1902
Country : US
Telephone Number : 317-338-2345
Fax Number : 317-583-3099
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2013
Last Update Date : 05/18/2026

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Directions to “ SENEQUE MILIEN MD” Practice Location

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