| Dr. Elie N Miller Management, Llc | |
|
1 Reservoir Cir Pikesville MD 21208-6411 | |
| (443) 242-7265 | |
| (410) 397-1659 |
| Full Name | Dr. Elie N Miller Management, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1 Reservoir Cir, Pikesville, Maryland |
| Authorized Official Name and Position | Elie Miller (OWNER) |
| Authorized Official Contact | 4432427265 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Elie N Miller Management, Llc 1 Reservoir Cir Pikesville MD 21208-6411 Ph: (443) 242-7265 | Dr. Elie N Miller Management, Llc 1 Reservoir Cir Pikesville MD 21208-6411 Ph: (443) 242-7265 |
| NPI Number | 1700684370 |
|---|---|
| Provider Enumeration Date | 03/07/2025 |
| Last Update Date | 09/02/2025 |
| Medicare PECOS PAC ID | 7315464161 |
|---|---|
| Medicare Enrollment ID | O20250506001676 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700684370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Elie N Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770011801 PECOS PAC ID: 3476828336 Enrollment ID: I20200108000260 |
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