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NPI Code Detail

MEDICARE: SUSAN MILES

MEDICARE: SUSAN MILES
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
1390200000XStudent in an Organized Health Care Education/Training ProgramMD

General Provider Information

NPI Number : 1043145949
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN MILES
Provider Business Mailing Address
First Line : 4351 GARDEN CITY DR
Second Line :
City : LANDOVER
State : MD
Zip : 20785-2223
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4351 GARDEN CITY DR
Second Line :
City : LANDOVER
State : MD
Zip : 20785-2223
Country : US
Telephone Number : 301-459-3650
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2026
Last Update Date : 06/15/2026

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Directions to “ SUSAN MILES ” Practice Location

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