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Individual

JEFFREY R MILLER

Active
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Individual

JEFFREY R MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01052478A
IN
2085R0202X
Diagnostic Radiology Physician
32709
KY
2085R0204X
Vascular & Interventional Radiology Physician
01052478A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000546001
ANTHEM BC/BS
KY
05
200278130
IN
05
64012107
KY
01
P00476263
RAIL ROAD MEDICARE
KY
Enumeration date
09/19/2005
Last updated
09/28/2020
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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