Provider Demographics
NPI:1881613123
Name:MILLER, ANGELA SARAH (MD)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:SARAH
Last Name:MILLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8435 S. EASTERN AVENUE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-2892
Mailing Address - Country:US
Mailing Address - Phone:702-850-2422
Mailing Address - Fax:702-935-3049
Practice Address - Street 1:8435 S. EASTERN AVENUE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-2892
Practice Address - Country:US
Practice Address - Phone:702-850-2422
Practice Address - Fax:702-935-3049
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV10327174400000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVH73835Medicare UPIN
NVV36955Medicare ID - Type Unspecified