Organization
DR. BOSE S. MIKKILINENI, M.D. FACS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOSE S MIKKILINENI, M.D. FACS M.D. (SOLE PROPRIETOR)
(304) 253-8416
Entity
Organization
Contact information
Practice address
419 CARRIAGE DR, BECKLEY, WV 25801-2805
(304) 253-8416
(866) 461-4726
Mailing address
419 CARRIAGE DR, BECKLEY, WV 25801-2805
(304) 253-8416
(866) 461-4726
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
WV12282
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0128502000
—
WV
Enumeration date
04/06/2007
Last updated
01/02/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us