Individual
MEAGAN E MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1111 RONALD REAGAN PKWY, AVON, IN 46123-7085
(317) 944-0920
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01088032A
IN
207RH0003X
Hematology & Oncology Physician
Primary
01088032A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11018730A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001668039
ANTHEM PTAN
IN
05
—
201369680
—
IN
Enumeration date
05/27/2016
Last updated
03/14/2025
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