Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 9593 | NV |
NPI | 1205907755 |
---|---|
Provider Name | Dr. Yeganeh Miller |
First Address | Reno, NV 89557-0001 |
Second Address | Reno, NV 89557-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2006 |
Last Update Date | 08/07/2007 |