Provider Demographics
NPI:1902898505
Name:ADAMS-MILLER, VALLEE M (MD)
Entity Type:Individual
Prefix:
First Name:VALLEE
Middle Name:M
Last Name:ADAMS-MILLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8777 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-7035
Mailing Address - Country:US
Mailing Address - Phone:219-736-5151
Mailing Address - Fax:219-736-1506
Practice Address - Street 1:8777 BROADWAY
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-7035
Practice Address - Country:US
Practice Address - Phone:219-736-5151
Practice Address - Fax:219-736-1506
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01042094A207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
5668620OtherAETNA
IN000000080505OtherANTHEM
1953293OtherUNITED HEALTHCARE
3004590002OtherCIGNA
IN409370GMedicare ID - Type Unspecified
F74943Medicare UPIN