Provider Demographics
NPI:1114991999
Name:MILLER, MARGARET E (MD)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:E
Last Name:MILLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 N HIGLEY RD
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234
Mailing Address - Country:US
Mailing Address - Phone:480-543-2034
Mailing Address - Fax:480-543-2647
Practice Address - Street 1:1900 N HIGLEY RD
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234
Practice Address - Country:US
Practice Address - Phone:480-543-2034
Practice Address - Fax:480-543-2647
Is Sole Proprietor?:No
Enumeration Date:2006-02-16
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101232487207R00000X
AZ41834207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA005876508Medicaid
VA245965OtherANTHEM
VA5876508OtherVA PREMIER
VA7412721001OtherCIGNA
VA58810OtherOPTIMA
VA189107OtherSOUTHERN HEALTH
VA22022485OtherFIRST HEALTH
VAH68901Medicare UPIN
VA58810OtherOPTIMA
VAMC11629Medicare PIN
VA5876508OtherVA PREMIER
VA189107OtherSOUTHERN HEALTH
VAC02675Medicare PIN