MEDICARE: VALLEE M. ADAMS-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
1	207R00000X	Internal Medicine Physician	01042094A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5668620	OTHER		AETNA
2	000000080505	OTHER	IN	ANTHEM
3	1953293	OTHER		UNITED HEALTHCARE
4	3004590002	OTHER		CIGNA

General Provider Information

NPI Number	:	1902898505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALLEE M. ADAMS-MILLER M.D.

Provider Business Mailing Address
First Line	:	8777 BROADWAY
Second Line	:
City	:	MERRILLVILLE
State	:	IN
Zip	:	46410-7035
Country	:	US
Telephone Number	:	219-736-5151
Fax Number	:	219-736-1506

Provider Business Practice Location Address
First Line	:	8777 BROADWAY
Second Line	:
City	:	MERRILLVILLE
State	:	IN
Zip	:	46410-7035
Country	:	US
Telephone Number	:	219-736-5151
Fax Number	:	219-736-1506

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

Provider Enumeration Date	:	08/19/2005
Last Update Date	:	07/08/2007

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