Individual
SANTOSH R. LIKKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1184 W LOCUST ST, WILMINGTON, OH 45177
(937) 382-1616
(937) 382-7877
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(937) 762-1310
(937) 522-8068
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35078170
OH
207R00000X
Internal Medicine Physician
38525
KY
208M00000X
Hospitalist Physician
Primary
35.078170
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000331954
ANTHEM BCBS
KY
05
—
200509220
—
IN
05
—
2203412
—
OH
05
—
64041635
—
KY
Enumeration date
01/12/2006
Last updated
05/05/2023
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