Provider Demographics
NPI:1619103835
Name:MILLER, SAMANTHA ADRIENNE (MD)
Entity type:Individual
Prefix:DR
First Name:SAMANTHA
Middle Name:ADRIENNE
Last Name:MILLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:701 W PRATT ST FL 3
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-1023
Mailing Address - Country:US
Mailing Address - Phone:410-328-2207
Mailing Address - Fax:410-328-2333
Practice Address - Street 1:701 W PRATT ST FL 3
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1023
Practice Address - Country:US
Practice Address - Phone:410-328-2207
Practice Address - Fax:410-328-2333
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-02
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2412352084P0800X, 207R00000X
MDD00962862084P0800X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine