Individual
HIMABINDU MIKKILINENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-1702
(216) 448-0219
Mailing address
25875 SCIENCE PARK DR # AC116, BEACHWOOD, OH 44122-7304
(216) 448-0219
(216) 448-0220
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35.120866
OH
390200000X
Student in an Organized Health Care Education/Training Program
57-015412
OH
Other
Enumeration date
10/24/2008
Last updated
07/21/2022
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