MEDICARE: DR. LINDA MARIA MILETI 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	207RR0500X	Rheumatology Physician	036115102	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	R02937	OTHER	IL	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	036115102	OTHER	IL	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790959682
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LINDA MARIA MILETI MD

Provider Business Mailing Address
First Line	:	9500 EUCLID AVE # A50
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44195-2922
Country	:	US
Telephone Number	:	216-445-8086
Fax Number	:	216-636-7872

Provider Business Practice Location Address
First Line	:	9500 EUCLID AVE # A50
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44195-2922
Country	:	US
Telephone Number	:	216-445-8086
Fax Number	:	216-636-7872

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

Provider Enumeration Date	:	04/22/2008
Last Update Date	:	01/21/2021

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