Individual
RICHARD A MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
590 PIT RD, BROWNSBURG, IN 46112-7830
(317) 456-1200
Mailing address
10330 N MERIDIAN ST # 300, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01032035
IN
208M00000X
Hospitalist Physician
01032035A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000175368
BCBS
IN
01
—
080180027
RAILROAD MEDICARE
IN
05
—
100382770
—
IN
01
—
M471400011
MEDICARE PROVIDER PTAN
IN
Enumeration date
09/27/2005
Last updated
09/06/2017
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