Organization
RAO S. MIKKILINENI MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAO S MIKKILINENI MD (AUTHORIZED OFFICIAL)
(973) 202-6120
Entity
Organization
Contact information
Practice address
391 MARTINSVILLE RD, BASKING RIDGE, NJ 07920-2713
(908) 625-6938
(973) 597-1076
Mailing address
391 MARTINSVILLE RD, BASKING RIDGE, NJ 07920-2713
(908) 625-6938
(973) 597-1076
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MA51744
NJ
207RP1001X
Pulmonary Disease Physician
MA51744
NJ
Other
Enumeration date
06/24/2009
Last updated
04/22/2020
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