Mikkilineni, Radha
Mikkilineni, Radha is an individual health care provider with primary practice located at 54 New Hyde Park Rd , Garden City NY 11530-3909. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatopathology, which is considered as her primary health care specialty. Mikkilineni, Radha can be contacted via phone (516) 488-1313.Contact Information
Primary practice address
54 New Hyde Park Rd
Garden City NY 11530-3909
Phone: (516) 488-1313
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 261852 | New York |
Profile Details
| NPI number | 1003842618 |
|---|---|
| LBN Legal business name | Mikkilineni, Radha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2006 |
| Last updated | Dec 15th, 2023 - about 2 years ago |
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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