Individual
SHRAVANI MIKKILINENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29201 TELEGRAPH RD STE 324, SOUTHFIELD, MI 48034-7646
(248) 357-5100
Mailing address
29201 TELEGRAPH RD STE 324, SOUTHFIELD, MI 48034-7646
(248) 357-5100
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
4301509532
MI
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
4301509532
MI
Other
Enumeration date
04/05/2017
Last updated
06/12/2025
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