Healthcare Provider Details

I. General information

NPI: 1235323510
Provider Name (Legal Business Name): ALISHA R MILLER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2007
Last Update Date: 10/08/2020
Certification Date: 10/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1130 PERRY HWY
PITTSBURGH PA
15237-2142
US

IV. Provider business mailing address

1130 PERRY HWY
PITTSBURGH PA
15237-2142
US

V. Phone/Fax

Practice location:
  • Phone: 412-847-2615
  • Fax: 412-847-2623
Mailing address:
  • Phone: 412-847-2615
  • Fax: 412-847-2623

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD461245
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: