Healthcare Provider Details

I. General information

NPI: 1386910263
Provider Name (Legal Business Name): JULIA MILADORE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIA JI-YANG NG

II. Dates (important events)

Enumeration Date: 03/26/2012
Last Update Date: 12/27/2023
Certification Date: 12/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 BELMONT AVE
YOUNGSTOWN OH
44504-1003
US

IV. Provider business mailing address

1001 BELMONT AVE
YOUNGSTOWN OH
44504-1003
US

V. Phone/Fax

Practice location:
  • Phone: 330-747-1106
  • Fax: 330-747-0491
Mailing address:
  • Phone: 330-747-1106
  • Fax: 330-747-0491

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number4301117230
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number35.149493
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number35.149493
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number4301117230
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: