Provider Demographics
NPI:1104927441
Name:MILAM, AARON BRETT (DPM)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:BRETT
Last Name:MILAM
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:464 SMITHFIELD RD
Mailing Address - Street 2:
Mailing Address - City:NORTH PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02904-4238
Mailing Address - Country:US
Mailing Address - Phone:401-353-6050
Mailing Address - Fax:401-353-1694
Practice Address - Street 1:464 SMITHFIELD RD
Practice Address - Street 2:
Practice Address - City:NORTH PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02904-4238
Practice Address - Country:US
Practice Address - Phone:401-353-6050
Practice Address - Fax:401-353-1694
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDPM00290213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIU71268Medicare UPIN
RI489007319Medicare PIN
RI007006666Medicare PIN