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 | -- |
Post Comment/ Review Below
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.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC