Basic Information
Provider Information
NPI: 1033571906
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MILANI
FirstName: ELISE
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3536 MT HOLLY HUNTERSVILLE RD
Address2:  
City: CHARLOTTE
State: NC
PostalCode: 282168644
CountryCode: US
TelephoneNumber: 7048016500
FaxNumber:  
Practice Location
Address1: 2120 L ST NW STE 459
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200371527
CountryCode: US
TelephoneNumber: 2027412911
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/22/2016
LastUpdateDate: 08/12/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/12/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X307287LAN Allopathic & Osteopathic PhysiciansEmergency Medicine 
207P00000X2022-00833NCY Allopathic & Osteopathic PhysiciansEmergency Medicine 
207P00000X0101269791VAN Allopathic & Osteopathic PhysiciansEmergency Medicine 
207P00000XMD048160DCN Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


Home