Individual
SRINIVAS SAI MIKKILINENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2660 TATE BLVD SE, HICKORY, NC 28602-1465
(828) 261-0009
(828) 261-0799
Mailing address
1850 W ARLINGTON BLVD, GREENVILLE, NC 27834-5704
(252) 752-6101
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2012-01404
NC
207RI0011X
Interventional Cardiology Physician
Primary
2012-01404
NC
Other
Enumeration date
05/12/2009
Last updated
09/14/2022
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