Individual
DR. PAUL J MILLEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 N WASHINGTON ST, KAISER PERMANENTE FALLS CHURCH MEDICAL CENTER, FALLS CHURCH, VA 22046-4518
(703) 237-4000
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101240677
VA
207Q00000X
Family Medicine Physician
D65501
MD
207Q00000X
Family Medicine Physician
MD039129
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000011354F
HUMANA
—
05
—
31455700
—
WI
Enumeration date
05/15/2006
Last updated
02/04/2022
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