Mikkilineni, Rao S

Mikkilineni, Rao S is an individual health care provider with primary practice located at 377 Jersey Ave Ste 470, Jersey City NJ 07302-4393. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Mikkilineni, Rao S can be contacted via phone (201) 918-2239.

Contact Information

Primary practice address
377 Jersey Ave Ste 470 Jersey City NJ 07302-4393
Fax: (201) 918-2243
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MA51744 New Jersey
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X MA51744 New Jersey

Profile Details

NPI number 1881650273
LBN Legal business name Mikkilineni, Rao S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Apr 22nd, 2020 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1881650273 NPPES
New Jersey MEDICAID 1582208

Popular Providers