Individual
MILTON O MEDEIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7727
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000034150
TLC NO
TN
01
—
000000165679
UNISON NO
TN
05
—
3827978
—
TN
01
—
4105401
BCBS OF TENNESSEE
TN
01
—
P00242733
RAILROAD MEDICARE NO
TN
Enumeration date
03/14/2006
Last updated
07/13/2026
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