Provider Demographics
NPI:1023330099
Name:MILLER, MEREDITH HALKS (MD)
Entity type:Individual
Prefix:DR
First Name:MEREDITH
Middle Name:HALKS
Last Name:MILLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MEREDITH
Other - Middle Name:
Other - Last Name:HALKS-MILLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:800 SAGINAW DR
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94063-4740
Mailing Address - Country:US
Mailing Address - Phone:650-208-6978
Mailing Address - Fax:650-363-2605
Practice Address - Street 1:800 SAGINAW DR
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-4740
Practice Address - Country:US
Practice Address - Phone:650-208-6978
Practice Address - Fax:650-363-2605
Is Sole Proprietor?:No
Enumeration Date:2010-02-18
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG32531207ZN0500X, 207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
No207ZN0500XAllopathic & Osteopathic PhysiciansPathologyNeuropathology