Individual
DOUGLAS K MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1633 N CAPITOL AVE, STE 322, INDIANAPOLIS, IN 46202-1476
(317) 962-2929
(317) 962-2070
Mailing address
950 N MERIDIAN STREET, SUITE 500 - PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46204-3908
(317) 962-4944
(317) 962-4950
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01058644A
IN
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
01058644A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200410500
—
IN
Enumeration date
05/04/2006
Last updated
09/19/2013
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