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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1891947438 | NPPES |
Kentucky | Other | 000000719102 | BCBS |
Kentucky | Other | P00955671 | BCBS |
Kentucky | MEDICAID | 7100066060 | BCBS |
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