Provider Demographics
NPI:1891733085
Name:MILANI, ELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:ELLE
Middle Name:
Last Name:MILANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ELHAM
Other - Middle Name:
Other - Last Name:RAJAEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1800 TOWN CENTER DR
Mailing Address - Street 2:SUITE 316
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20190
Mailing Address - Country:US
Mailing Address - Phone:703-787-4700
Mailing Address - Fax:703-787-4707
Practice Address - Street 1:1800 TOWN CENTER DR
Practice Address - Street 2:SUITE 316
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20190
Practice Address - Country:US
Practice Address - Phone:703-787-4700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-02
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101235799207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010051339Medicaid
I01985Medicare UPIN
VA491686Medicare ID - Type Unspecified