Individual
DR. SANDRA L MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
31135
KS
208600000X
Surgery Physician
Primary
35-078131
OH
2086S0102X
Surgical Critical Care Physician
35-078131
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1630469
GATEWAY HEALTH
OH
01
—
200304120
MEDICAID
IN
05
—
200310530A
—
KS
01
—
2183051
MEDICAID
OH
01
—
270577733067
CARESOURCE
OH
01
—
5902567
AETNA
OH
01
—
681757
WELLCARE
OH
01
—
763200
ANTHEM
OH
01
—
H109180
MEDICARE
OH
01
—
P01239196
RAILROAD MEDICARE
OH
Enumeration date
02/23/2006
Last updated
10/30/2020
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