Provider Demographics
NPI:1881683761
Name:MIELE, PETER STEPHEN (MD)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:STEPHEN
Last Name:MIELE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4201 CATHEDRAL AVE NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-4979
Mailing Address - Country:US
Mailing Address - Phone:202-244-5881
Mailing Address - Fax:
Practice Address - Street 1:4910 MASSACHUSETTS AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-4382
Practice Address - Country:US
Practice Address - Phone:202-537-7400
Practice Address - Fax:202-244-9645
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD33225207RI0200X
MDD0058142207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC008796K02Medicare ID - Type Unspecified
H53639Medicare UPIN