MEDICARE: MONICA A MILLER 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
1	207Q00000X	Family Medicine Physician	35075412	OH
2	208M00000X	Hospitalist Physician	35.075412	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00403827	OTHER	KY	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	TP474	OTHER	KY	LICENSE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891791026
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA A MILLER MD

Provider Business Mailing Address
First Line	:	2200 PHILADELPHIA DR
Second Line	:	STE 441
City	:	DAYTON
State	:	OH
Zip	:	45406-1840
Country	:	US
Telephone Number	:	937-734-4690
Fax Number	:	937-567-4186

Provider Business Practice Location Address
First Line	:	2200 PHILADELPHIA DR
Second Line	:	STE 441
City	:	DAYTON
State	:	OH
Zip	:	45406-1840
Country	:	US
Telephone Number	:	937-734-4690
Fax Number	:	937-567-4186

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

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	11/29/2013

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Directions to “ MONICA A MILLER MD” Practice Location

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