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NPI Code Detail

MEDICARE: ROBERT MILETICH MD

MEDICARE: ROBERT MILETICH 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
1207UN0902XNuclear Imaging & Therapy Physician195033NY
22084N0400XNeurology Physician195033NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205891116
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT MILETICH MD
Provider Business Mailing Address
First Line : 3435 MAIN ST
Second Line : 105 PARKER HALL #10
City : BUFFALO
State : NY
Zip : 14214-3001
Country : US
Telephone Number : 716-834-8194
Fax Number : 716-829-2348
Provider Business Practice Location Address
First Line : 1616 KENSINGTON AVE
Second Line :
City : BUFFALO
State : NY
Zip : 14215-1433
Country : US
Telephone Number : 716-831-3005
Fax Number : 716-829-2348
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2006
Last Update Date : 09/11/2025

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