MEDICARE: DR. NATHALIE BERA-MILLER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2083P0901X	Public Health & General Preventive Medicine Physician	G75670	CA
2	2083P0901X	Public Health & General Preventive Medicine Physician	G075670	CA

General Provider Information

NPI Number	:	1023217049
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NATHALIE BERA-MILLER MD

Provider Business Mailing Address
First Line	:	2303 CAMINO RAMON STE 208
Second Line	:
City	:	SAN RAMON
State	:	CA
Zip	:	94583-1392
Country	:	US
Telephone Number	:	925-658-0464
Fax Number	:	888-807-4046

Provider Business Practice Location Address
First Line	:	2303 CAMINO RAMON STE 208
Second Line	:
City	:	SAN RAMON
State	:	CA
Zip	:	94583-1392
Country	:	US
Telephone Number	:	925-658-0464
Fax Number	:	888-807-4046

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2007
Last Update Date	:	09/15/2023

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