Provider Demographics
NPI:1467463992
Name:MILES, LESTER MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:LESTER
Middle Name:MICHAEL
Last Name:MILES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1160 VARNUM ST NE
Mailing Address - Street 2:SUITE 306
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20017-2107
Mailing Address - Country:US
Mailing Address - Phone:202-269-2011
Mailing Address - Fax:202-269-2013
Practice Address - Street 1:1160 VARNUM ST NE
Practice Address - Street 2:SUITE 306
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-2107
Practice Address - Country:US
Practice Address - Phone:202-269-2011
Practice Address - Fax:202-269-2013
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0026024207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
1263OtherCAREFIRST PROVIDER NUMBER
6111LMOtherCAREFIRST OF MD NUMBER
AM1053494OtherDEA NUMBER
6111LMOtherCAREFIRST OF MD NUMBER
184298Medicare ID - Type UnspecifiedMEDICARE