Miller, Shadi I

Miller, Shadi I is an individual health care provider with primary practice located at 330 S Garden Way Ste 350, Eugene OR 97401-8176. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Miller, Shadi I can be contacted via phone (541) 746-6816.

Contact Information

Primary practice address
330 S Garden Way Ste 350 Eugene OR 97401-8176
Phone: (541) 746-6816
Fax: (541) 726-3177
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD25016 Oregon
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD25016 Oregon

Profile Details

NPI number 1346228830
LBN Legal business name Miller, Shadi I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Jun 28th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346228830 NPPES
Oregon MEDICAID 022714

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