MEDICARE: SETH 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	207Q00000X	Family Medicine Physician	A148228	CA

General Provider Information

NPI Number	:	1871855171
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SETH MILLER M.D.

Provider Business Mailing Address
First Line	:	221 CUDDINGTON CT
Second Line	:
City	:	GRANITE BAY
State	:	CA
Zip	:	95746-6462
Country	:	US
Telephone Number	:	505-503-9131
Fax Number	:

Provider Business Practice Location Address
First Line	:	221 CUDDINGTON CT
Second Line	:
City	:	GRANITE BAY
State	:	CA
Zip	:	95746-6462
Country	:	US
Telephone Number	:	505-503-9131
Fax Number	:

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

Provider Enumeration Date	:	06/12/2012
Last Update Date	:	05/13/2026

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