Healthcare Provider Details

I. General information

NPI: 1124525258
Provider Name (Legal Business Name): DANIEL T. MILES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: DANIEL MILES MD

II. Dates (important events)

Enumeration Date: 04/06/2018
Last Update Date: 11/01/2025
Certification Date: 11/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 CANAL ST
NEW ORLEANS LA
70112-3018
US

IV. Provider business mailing address

2000 CANAL ST FL 4
NEW ORLEANS LA
70112-3018
US

V. Phone/Fax

Practice location:
  • Phone: 504-702-3000
  • Fax:
Mailing address:
  • Phone: 504-702-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number340988
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: