Provider Demographics
NPI:1346285137
Name:MILLER ALLERGY, INC
Entity Type:Organization
Organization Name:MILLER ALLERGY, INC
Other - Org Name:ALLERGY AND ASTHMA CLINICS OF OHIO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SURI
Authorized Official - Middle Name:R
Authorized Official - Last Name:SURESH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-760-0099
Mailing Address - Street 1:7287 SAWMILL RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-9021
Mailing Address - Country:US
Mailing Address - Phone:614-760-0099
Mailing Address - Fax:614-734-0409
Practice Address - Street 1:7287 SAWMILL RD
Practice Address - Street 2:SUITE 100
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-9021
Practice Address - Country:US
Practice Address - Phone:614-760-0099
Practice Address - Fax:614-734-0409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35051349S207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2322972Medicaid
OH2322972Medicaid