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NPI Code Detail

MEDICARE: DR. HARVEY S MILLER M.D.

MEDICARE: DR. HARVEY S MILLER 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
12085R0202XDiagnostic Radiology Physician2558NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1NV2558OTHERNVBLUE

General Provider Information

NPI Number : 1770561730
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HARVEY S MILLER M.D.
Provider Business Mailing Address
First Line : 4101 WAGON TRAIL AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-4426
Country : US
Telephone Number : 702-942-4123
Fax Number : 702-942-4124
Provider Business Practice Location Address
First Line : 3061 S MARYLAND PKWY
Second Line : SUITE 102
City : LAS VEGAS
State : NV
Zip : 89109-2298
Country : US
Telephone Number : 702-731-2888
Fax Number : 702-696-9289
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2006
Last Update Date : 02/18/2008

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