Individual
SARANYA PADMINI MIKKILINENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 384-5416
(704) 384-5992
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-5416
(704) 384-5992
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
058290
GA
207R00000X
Internal Medicine Physician
200800991
NC
208M00000X
Hospitalist Physician
Primary
2008-00991
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10065028
AMERIGROUP
GA
01
—
349804
WELLCARE
GA
05
—
5910604
—
NC
05
—
603413093A
—
GA
05
—
G58290
—
SC
Enumeration date
08/08/2006
Last updated
04/27/2023
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