Individual
MAHESH BIKKINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD FACC FSCAI
Contact information
Practice address
22-18 BROADWAY, SUITE 201, FAIR LAWN, NJ 07410-3016
(201) 475-5050
(201) 475-5522
Mailing address
22-18 BROADWAY, SUITE 201, FAIR LAWN, NJ 07410-3016
(201) 475-5050
(201) 475-5522
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA06328500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6778101
—
NJ
Enumeration date
07/21/2006
Last updated
10/27/2016
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