Dr. Bose S. Mikkilineni, M.d. Facs
NPI #1124141171 in Beckley, West Virginia
Provider Information
- NPI Number
- 1124141171
- Entity Type
- Organization
- Organization Name
- Dr. Bose S. Mikkilineni, M.d. Facs
- Primary Specialty
- Surgery
- Enumeration Date
- Apr 6, 2007
- Last Updated
- Jan 2, 2013
Practice Location
- Address
- 419 CARRIAGE DR
- City
- Beckley
- State
- West Virginia
- ZIP Code
- 25801-2805
- Phone
- (304) 253-8416
Authorized Official
- Name
- DR. BOSE S MIKKILINENI, M.D. FACS, M.D.
- Title
- SOLE PROPRIETOR
- Phone
- (304) 253-8416
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
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