Provider Demographics
NPI:1528036977
Name:MILLER, JOHN ALFRED (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:ALFRED
Last Name:MILLER
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 1:8503 ARLINGTON BLVD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-4628
Mailing Address - Country:US
Mailing Address - Phone:703-280-5390
Mailing Address - Fax:703-280-9596
Practice Address - Street 1:8503 ARLINGTON BLVD
Practice Address - Street 2:SUITE 400
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-4628
Practice Address - Country:US
Practice Address - Phone:703-280-5390
Practice Address - Fax:703-280-9596
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101033084207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA220661OtherTRIGON/ANTHEM
VA112923OtherKAISER
VA500617-4087218OtherAETNA PPO
VA500617-738327OtherAETNA HMO
VA5983390003OtherCIGNA POS/PPO
VA0870-003OtherBCBS NCA-CARE FIRST
VA316256-516258OtherMAMSI/OP CHOICE/ALLIANCE
VA3600049OtherUNITED HEALTHCARE
VA504738OtherNCPPO
VA5983390005OtherCIGNA HMO
VA6023410Medicaid
VA3600049OtherUNITED HEALTHCARE
VA6023410Medicaid