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
Phone: (201) 918-2239
Fax: (201) 918-2243
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881650273 | NPPES |
| New Jersey | MEDICAID | 1582208 |
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