Individual
DR. SOUMYA MIKKILINENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
ONE HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-3014
(573) 884-4612
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2023050441
MO
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD479027
PA
Other
Enumeration date
06/24/2019
Last updated
04/08/2024
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