Provider Demographics
NPI:1326038845
Name:MILLER, ELIZABETH (MD PHD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:
Last Name:MILLER
Suffix:
Gender:F
Credentials:MD PHD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CHILDRENS HOSPITAL DR
Mailing Address - Street 2:4401 PENN AVENUE
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-1529
Mailing Address - Country:US
Mailing Address - Phone:412-692-6677
Mailing Address - Fax:412-692-8584
Practice Address - Street 1:1 CHILDRENS HOSPITAL DR
Practice Address - Street 2:4401 PENN AVENUE
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-1529
Practice Address - Country:US
Practice Address - Phone:412-692-6677
Practice Address - Fax:412-692-8584
Is Sole Proprietor?:No
Enumeration Date:2005-10-26
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD442661207R00000X, 208000000X, 2080A0000X
CAG87803208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3206602Medicaid
MA082065OtherTUFTS HEALTH PLAN
MAJ22203OtherBCBS MA
PA216504Medicare PIN
H19439Medicare UPIN