MEDICARE: DR. MILES FRANKLIN ADLER 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	207RG0100X	Gastroenterology Physician	G16859	CA

General Provider Information

NPI Number	:	1760414502
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MILES FRANKLIN ADLER M.D.

Provider Business Mailing Address
First Line	:	13847 E 14TH ST
Second Line	:	SUITE 115
City	:	SAN LEANDRO
State	:	CA
Zip	:	94578-2632
Country	:	US
Telephone Number	:	510-357-8180
Fax Number	:	510-357-0276

Provider Business Practice Location Address
First Line	:	13847 E 14TH ST
Second Line	:	SUITE 115
City	:	SAN LEANDRO
State	:	CA
Zip	:	94578-2632
Country	:	US
Telephone Number	:	510-357-8180
Fax Number	:	510-357-0276

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

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	01/30/2012

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