Provider Demographics
NPI:1518929199
Name:MILLER, RAM RON (MD)
Entity Type:Individual
Prefix:DR
First Name:RAM
Middle Name:RON
Last Name:MILLER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5 MOORE DR
Mailing Address - Street 2:N2.3213
Mailing Address - City:RESEARCH TRIANGLE PARK
Mailing Address - State:NC
Mailing Address - Zip Code:27709-0143
Mailing Address - Country:US
Mailing Address - Phone:919-483-5832
Mailing Address - Fax:919-315-2348
Practice Address - Street 1:5 MOORE DR
Practice Address - Street 2:N2.3213
Practice Address - City:RESEARCH TRIANGLE PARK
Practice Address - State:NC
Practice Address - Zip Code:27709-0143
Practice Address - Country:US
Practice Address - Phone:919-483-5832
Practice Address - Fax:919-315-2348
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-06
Last Update Date:2012-09-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0062263207RG0300X
NC176218207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H73936Medicare UPIN
A34836Medicare ID - Type Unspecified