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Individual

ANITA MIKKILINENI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2150 PENNSYLVANIA AVE NW FL 5, WASHINGTON, DC 20037-3201
(202) 741-2500
(202) 741-2550
Mailing address
19 BRADHURST AVE STE 3100N, HAWTHORNE, NY 10532-2140
(914) 909-9018
(914) 909-9028

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
306397
NY
207V00000X
Obstetrics & Gynecology Physician
Primary
MD210002669
DC

Other

Enumeration date
04/14/2016
Last updated
01/09/2024
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