Dr. Bose S. Mikkilineni, M.D. Facs in Beckley - Surgery

Dr. Bose S. Mikkilineni, M.D. Facs - NPI 1124141171

Dr. Bose S. Mikkilineni, M.D. Facs is a Surgery in Beckley, . Dr. Bose S. Mikkilineni, M.D. Facs practices all healthcare services and medical treatments related to Surgery. The NPI Number for Dr. Bose S. Mikkilineni, M.D. Facs is 1124141171. The last update date is 2013-01-02.

Dr. Bose S. Mikkilineni, M.D. Facs's current location address is 419 Carriage Dr, Beckley, . You can contact this provider via phone number 3042538416 and fax number 8664614726. The mailing address for Dr. Bose S. Mikkilineni, M.D. Facs is 419 Carriage Dr, Beckley, . To know further, please read the information below!

Provider Profile Detail

Provider Organization Dr. Bose S. Mikkilineni, M.D. Facs
Address 419 Carriage Dr, Beckley,
Phone Number 3042538416
Fax Number 8664614726
Sole Proprietor --
Credentials --

Authorized Official

Title or Position SOLE PROPR
Authorized Official Name Mikkilineni, M.D. Facs S Bose
Credentials M.D.
Telephone Number 3042538416

NPI Number Detail

NPI Number 1124141171
Provider Enumeration Date 2007-04-06
Last Updated Date 2013-01-02

Provider Mailing Address Detail

Address 419 Carriage Dr
City Beckley
State (WV)
Post Code 258012805
Phone Number 3042538416
Fax Number 8664614726

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No WV12282
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
128502000 WV --

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FAQs about Dr. Bose S. Mikkilineni, M.D. Facs

What is the unique provider identifier assigned to Dr. Bose S. Mikkilineni, M.D. Facs?

The Dr. Bose S. Mikkilineni, M.D. Facs has been issued the NPI (National Provider Identifier) 1124141171 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Dr. Bose S. Mikkilineni, M.D. Facs?

The Dr. Bose S. Mikkilineni, M.D. Facs is physically situated at 419 Carriage Dr, in the city of Beckley, state of WV, with the postal code 258012805.

What is Dr. Bose S. Mikkilineni, M.D. Facs's specialized field of practice, and what is the corresponding taxonomy classification code?

The Dr. Bose S. Mikkilineni, M.D. Facs's area of specialization is Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208600000X.

On what date did Dr. Bose S. Mikkilineni, M.D. Facs receive its 1124141171 assignment from the Centers for Medicare & Medicaid Services?

The Dr. Bose S. Mikkilineni, M.D. Facs was assigned its 1124141171 on 2007-04-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Dr. Bose S. Mikkilineni, M.D. Facs's details last updated?

The information pertaining to the Dr. Bose S. Mikkilineni, M.D. Facs, including its address, specialty, and other details, was most recently updated on 2013-01-02.

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