NPI 1124141171

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

Organisation Surgery Physician Beckley, WV

Practice location

Address: 419 Carriage Dr, Beckley, WV 25801-2805
Phone: (304) 253-8416
Fax: (866) 461-4726

Authorised official

Name: Bose S Mikkilineni, M.D. Facs
Title: Sole Proprietor
Phone: (304) 253-8416

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence WV12282 (WV)

Other Surgery providers in West Virginia →

Registry record

NPI: 1124141171
Entity type: Organization
NPI issued: 6 Apr 2007
Record last updated: 2 Jan 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.