Dr Thomas Edward Miller, MD | |
388 Ben Bolt Ave, Tazewell, VA 24651-5386 | |
(276) 988-8730 | |
(276) 988-0563 |
Full Name | Dr Thomas Edward Miller |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 388 Ben Bolt Ave, Tazewell, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568461614 | NPI | - | NPPES |
0122460000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 0101238602 (Virginia) | Primary |
Entity Name | Carilion Tazewell Community Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427040328 PECOS PAC ID: 4183604259 Enrollment ID: O20040721000540 |
Mailing Address | Practice Location Address |
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Dr Thomas Edward Miller, MD 213 S Jefferson St Ste 1006, Roanoke, VA 24011-1713 Ph: () - | Dr Thomas Edward Miller, MD 388 Ben Bolt Ave, Tazewell, VA 24651-5386 Ph: (276) 988-8730 |
Mr. Mannachanallur Ramakrishnan, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 388 Ben Bolt Ave, Tazewell, VA 24651 Phone: 276-988-8730 | |
Dr. Vijay Ramakrishnan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 388 Ben Bolt Ave, Tazewell, VA 24651 Phone: 276-988-8730 | |
Qasim Ali Rao, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 388 Ben Bolt Ave, Tazewell, VA 24651 Phone: 276-988-8730 Fax: 276-988-0563 |