MEDICARE: MARIAM MILAD MINA M.D.

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	207QB0002X	Obesity Medicine (Family Medicine) Physician	35.120082	OH
2	207Q00000X	Family Medicine Physician	35.120082	OH

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	:	1376860791
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIAM MILAD MINA M.D.

Provider Business Mailing Address
First Line	:	3000 ARLINGTON AVE STOP 118
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43614-2595
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 REGENCY CT STE 200
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43623-3074
Country	:	US
Telephone Number	:	419-383-2450
Fax Number	:	419-479-2639

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

Provider Enumeration Date	:	04/24/2010
Last Update Date	:	01/21/2026

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Directions to “ MARIAM MILAD MINA M.D.” Practice Location

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