DR. Bose S. Mikkilineni, M.D. FACS

NPI #1407840549 in Beckley, West Virginia

Provider Information

NPI Number: 1407840549
Entity Type: Individual
Name: DR. Bose S. Mikkilineni, M.D. FACS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Surgery
Credential: M.D. FACS
Enumeration Date: Sep 5, 2005
Last Updated: Jun 4, 2013

Practice Location

Address: 419 CARRIAGE DR
City: Beckley
State: West Virginia
ZIP Code: 25801-2805
Phone: (304) 253-8416

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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