Provider Demographics
NPI:1710944392
Name:MILLER, MICHAEL FRANCIS (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:FRANCIS
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 1:1510 WINCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21409-5848
Mailing Address - Country:US
Mailing Address - Phone:443-623-4318
Mailing Address - Fax:
Practice Address - Street 1:1510 WINCHESTER RD
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21409-5848
Practice Address - Country:US
Practice Address - Phone:443-623-4318
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101046661207P00000X, 207R00000X
NHLT-3150207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010086752Medicaid
NC89067E8Medicaid
172295OtherANTHEM BC/BS
C08194Medicare PIN
CJ8053Medicare PIN
D17528Medicare UPIN
VA010086752Medicaid
P00135155Medicare PIN