Mikkilineni, Haritha

Mikkilineni, Haritha is an individual health care provider with primary practice located at 651 W Marion Rd , Mount Gilead OH 43338-1027. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Mikkilineni, Haritha can be contacted via phone (419) 946-5015.

Contact Information

Primary practice address
651 W Marion Rd Mount Gilead OH 43338-1027
Phone: (419) 946-5015
Fax: (937) 619-4150
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X N5245 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD2020-0327 New Mexico
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X N5245 Texas

Profile Details

NPI number 1891947438
LBN Legal business name Mikkilineni, Haritha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2008
Last updated Sep 13th, 2023 - about last year

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 1891947438 NPPES
Kentucky Other 000000719102 BCBS
Kentucky Other P00955671 BCBS
Kentucky MEDICAID 7100066060 BCBS

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