MEDICARE: DR. RANFORD V. MILLER M.D.

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	207RC0000X	Cardiovascular Disease Physician	179010	NY
2	207R00000X	Internal Medicine Physician	179010	NY

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

General Provider Information

NPI Number	:	1659370260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RANFORD V. MILLER M.D.

Provider Business Mailing Address
First Line	:	2546 BALLTOWN RD
Second Line	:	SUITE 300
City	:	SCHENECTADY
State	:	NY
Zip	:	12309-1079
Country	:	US
Telephone Number	:	518-377-8184
Fax Number	:	518-377-0620

Provider Business Practice Location Address
First Line	:	425 GUY PARK AVE
Second Line	:	SUITE 202
City	:	AMSTERDAM
State	:	NY
Zip	:	12010-1043
Country	:	US
Telephone Number	:	518-842-7088
Fax Number	:	518-843-1324

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2005
Last Update Date	:	03/16/2016

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