Provider Demographics
NPI:1659370260
Name:MILLER, RANFORD V (MD)
Entity Type:Individual
Prefix:DR
First Name:RANFORD
Middle Name:V
Last Name:MILLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2546 BALLTOWN RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12309-1079
Mailing Address - Country:US
Mailing Address - Phone:518-377-8184
Mailing Address - Fax:518-377-0620
Practice Address - Street 1:425 GUY PARK AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:AMSTERDAM
Practice Address - State:NY
Practice Address - Zip Code:12010-1043
Practice Address - Country:US
Practice Address - Phone:518-842-7088
Practice Address - Fax:518-843-1324
Is Sole Proprietor?:No
Enumeration Date:2005-07-15
Last Update Date:2016-03-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY179010207RC0000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01244646Medicaid
NY01244646Medicaid
NY01244646Medicaid