Individual
DR. SESANK SAI MIKKILINENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 PROFESSIONAL DR STE A220, LAWRENCEVILLE, GA 30046-7698
(470) 325-1160
(678) 701-9860
Mailing address
3000 TULANE AVE, APT 425, NEW ORLEANS, LA 70119-7292
(973) 722-0428
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
85386
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
AR
Other
Enumeration date
04/11/2015
Last updated
06/17/2020
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