Provider Demographics
NPI:1790959682
Name:MILETI, LINDA MARIA (MD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:MARIA
Last Name:MILETI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9500 EUCLID AVE # A50
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-2922
Mailing Address - Country:US
Mailing Address - Phone:216-445-8086
Mailing Address - Fax:216-636-7872
Practice Address - Street 1:9500 EUCLID AVE # A50
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-2922
Practice Address - Country:US
Practice Address - Phone:216-445-8086
Practice Address - Fax:216-636-7872
Is Sole Proprietor?:No
Enumeration Date:2008-04-22
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036115102207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036115102OtherBCBS
IL036-115102Medicaid
ILR02937OtherMEDICARE PTAN