MEDICARE: ALISHA R 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	207Q00000X	Family Medicine Physician	MD461245	PA

Other Identifiers

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

General Provider Information

NPI Number	:	1235323510
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISHA R MILLER MD

Provider Business Mailing Address
First Line	:	1130 PERRY HWY
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15237-2142
Country	:	US
Telephone Number	:	412-847-2615
Fax Number	:	412-847-2623

Provider Business Practice Location Address
First Line	:	1130 PERRY HWY
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15237-2142
Country	:	US
Telephone Number	:	412-847-2615
Fax Number	:	412-847-2623

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

Provider Enumeration Date	:	08/30/2007
Last Update Date	:	10/08/2020

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