Miller, Robert Benjamin

Miller, Robert Benjamin is an individual health care provider with primary practice located at 4343 Pan American Fwy Ne Ste 236 , Albuquerque NM 87107-6834. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Allopathic & Osteopathic Physicians / Pediatric Nephrology. Allopathic & Osteopathic Physicians / Pediatric Nephrology is his primary health care specialty. Miller, Robert Benjamin can be contacted via phone (505) 563-2800.

Contact Information

Primary practice address
4343 Pan American Fwy Ne Ste 236 Albuquerque NM 87107-6834
Phone: (505) 563-2800
Fax: (505) 563-2821
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 98-339 New Mexico
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X 98-339 New Mexico

Profile Details

NPI number 1477559425
LBN Legal business name Miller, Robert Benjamin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Aug 5th, 2020 - about 4 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 1477559425 NPPES
New Mexico MEDICAID T9873

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