Provider Demographics
NPI:1942244900
Name:MILLER, TODD A (MD)
Entity Type:Individual
Prefix:
First Name:TODD
Middle Name:A
Last Name:MILLER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:888 S KING ST
Mailing Address - Street 2:ATTN: MEDICAL STAFF - STRAUB CLINIC AND HOPSITAL
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-3097
Mailing Address - Country:US
Mailing Address - Phone:808-522-4301
Mailing Address - Fax:808-522-4302
Practice Address - Street 1:888 S KING ST
Practice Address - Street 2:ATTN: MEDICAL STAFF - STRAUB CLINIC AND HOPSITAL
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-3097
Practice Address - Country:US
Practice Address - Phone:808-522-4301
Practice Address - Fax:808-522-4302
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2011-08-26
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Provider Licenses
StateLicense IDTaxonomies
HI9496208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
HII42070Medicare UPIN