Healthcare Provider Details

I. General information

NPI: 1356611933
Provider Name (Legal Business Name): LOUIS HOWARD MILLER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/12/2012
Last Update Date: 01/12/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12735 TWINBROOK PKWY
ROCKVILLE MD
20852-1770
US

IV. Provider business mailing address

12735 TWINBROOK PKWY
ROCKVILLE MD
20852-1770
US

V. Phone/Fax

Practice location:
  • Phone: 301-496-2183
  • Fax: 301-402-2201
Mailing address:
  • Phone: 301-496-2183
  • Fax: 301-402-2201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1744R1102X
TaxonomyResearch Study Specialist
License NumberMD5786
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: