Healthcare Provider Details

I. General information

NPI: 1841994977
Provider Name (Legal Business Name): CHRISTINE HELENA MILLER MD PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2023
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1825 4TH ST
SAN FRANCISCO CA
94143-2350
US

IV. Provider business mailing address

180 N ADA ST APT 501
CHICAGO IL
60607-1542
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-2292
  • Fax:
Mailing address:
  • Phone: 914-433-9941
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberA199408
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: