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General NPI Number Information
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NPI Number | 1194780163
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Entity Type | Individual
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Provider Name | DAVID E MILLER M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/20/2006
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Last Update Date | 01/19/2010
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Provider Practice Location Address
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Address Line | 550 UNIVERSITY BLVD
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-5149
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Country | US
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Telephone | 317-274-8660
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Fax |
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Provider Business Mailing Address
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Address Line | 550 N MERIDIAN ST STE 114
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City | INDIANAPOLIS
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State | IN
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Zip | 46204-1207
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 01050781A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 01050781
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License Number State | IN
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