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NPI Code Detail

MEDICARE: DOUGLAS R MILES M.D

MEDICARE:   DOUGLAS R MILES  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
1207Q00000XFamily Medicine Physician22224KY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00873401OTHERKYRAILROAD MEDICARE
4080092532OTHERKYRAILROAD MEDICARE

Other Identifiers

General Provider Information

NPI Number : 1841234804
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOUGLAS R MILES M.D
Provider Business Mailing Address
First Line : PO BOX 635283
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-5283
Country : US
Telephone Number : 859-781-4111
Fax Number : 859-441-5214
Provider Business Practice Location Address
First Line : 2626 ALEXANDRIA PIKE
Second Line :
City : HIGHLAND HEIGHTS
State : KY
Zip : 41076-1530
Country : US
Telephone Number : 869-781-4111
Fax Number : 859-441-5214
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2006
Last Update Date : 04/22/2020

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