Provider Demographics
NPI:1881631158
Name:MILLER, HERMAN HOWARD II (MD)
Entity Type:Individual
Prefix:DR
First Name:HERMAN
Middle Name:HOWARD
Last Name:MILLER
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9834 GENESEE AVE STE 310
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-1221
Mailing Address - Country:US
Mailing Address - Phone:858-457-0034
Mailing Address - Fax:858-764-9765
Practice Address - Street 1:9834 GENESEE AVE STE 310
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1221
Practice Address - Country:US
Practice Address - Phone:858-457-0034
Practice Address - Fax:858-764-9765
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC38875207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC38875Medicare ID - Type UnspecifiedMEDICARE IDENTIFICATION
D76048Medicare UPIN