Individual
DR. EDWARD C MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 MEDICAL PKWY STE 120, CHESAPEAKE, VA 23320-4985
(757) 252-5660
(757) 548-9443
Mailing address
300 MEDICAL PKWY STE 120, CHESAPEAKE, VA 23320-4985
(757) 252-5660
(757) 548-9443
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101032556
VA
207RC0000X
Cardiovascular Disease Physician
0101032556
VA
207RI0011X
Interventional Cardiology Physician
Primary
0101032556
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-001
CHAMPUS/TRICARE
VA
05
—
006013236
—
VA
05
—
006053335
—
VA
01
—
0582M
BC/BS NC
NC
01
—
110130157
RAILROAD MEDICARE
VA
01
—
15070
OPTIMA/SENTARA
VA
01
—
15792
SENTARA OHP/SHP
VA
01
—
250365
ATHEM BC/BS VA/HK
VA
01
—
259542
ANTHEM BCBS
VA
01
—
263654
UHC/MAMSI/MDIPA
VA
05
—
890582M
—
NC
01
—
PAR
AETNA
—
Enumeration date
02/23/2006
Last updated
05/19/2020
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