Provider Demographics
NPI:1295707669
Name:MILLER, HAROLD J (MD)
Entity type:Individual
Prefix:MR
First Name:HAROLD
Middle Name:J
Last Name:MILLER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:15770 PAUL VEGA MD DR
Mailing Address - Street 2:202
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70403-1475
Mailing Address - Country:US
Mailing Address - Phone:985-429-8168
Mailing Address - Fax:985-429-8712
Practice Address - Street 1:15770 PAUL VEGA MD DR
Practice Address - Street 2:202
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-1475
Practice Address - Country:US
Practice Address - Phone:985-429-8168
Practice Address - Fax:985-429-8712
Is Sole Proprietor?:No
Enumeration Date:2006-02-01
Last Update Date:2008-07-24
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Provider Licenses
StateLicense IDTaxonomies
LAL09306R207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1681667Medicaid
LA4F958Medicare ID - Type Unspecified