Provider Demographics
NPI:1801984893
Name:FARIA, MILOT F (MD)
Entity type:Individual
Prefix:DR
First Name:MILOT
Middle Name:F
Last Name:FARIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:PAINTSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41240-1169
Mailing Address - Country:US
Mailing Address - Phone:606-789-4009
Mailing Address - Fax:606-789-8757
Practice Address - Street 1:301 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:PAINTSVILLE
Practice Address - State:KY
Practice Address - Zip Code:41240-1169
Practice Address - Country:US
Practice Address - Phone:606-789-4009
Practice Address - Fax:606-789-8757
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY33456208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000041852OtherANTHEM
KY1524174OtherUMWA
KY64336456Medicaid
KY64336456Medicaid
KY1689801Medicare PIN