MEDICARE: AZURA ANESTHESIA PARTNERS LLC

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	207L00000X	Anesthesiology Physician

General Provider Information

NPI Number	:	1528669728
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AZURA ANESTHESIA PARTNERS LLC

Provider Business Mailing Address
First Line	:	40 VALLEY STREAM PKWY STE 100
Second Line	:
City	:	MALVERN
State	:	PA
Zip	:	19355-1407
Country	:	US
Telephone Number	:	610-644-8900
Fax Number	:	484-924-0053

Provider Business Practice Location Address
First Line	:	8140 CORPORATE DR STE 125
Second Line	:
City	:	NOTTINGHAM
State	:	MD
Zip	:	21236-6901
Country	:	US
Telephone Number	:	410-931-9729
Fax Number	:	410-931-2133

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	DR. GREGG ARTHUR MILLER
Credential	:	MD
Telephone Number	:	717-515-4048

Provider Enumeration Date	:	11/04/2020
Last Update Date	:	02/19/2026

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