Hymavati Mikkilineni M.D.

NPI 1053344051 - Internal Medicine - 207R00000X

NPI Details
NPI 1053344051
Gender Female
Enumeration Date 07/10/2006
Last Updated 09/07/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
483 UPPER RIVERDALE RD SW
SUITE B
RIVERDALE GA, 30274-2584, US
Phone (770) 994-0242
Fax (770) 994-4386
Business Location
483 UPPER RIVERDALE RD SW
SUITE B
RIVERDALE GA, 30274-2584, US
Phone (770) 994-0242
Fax (770) 994-4386
Toxanomy
Taxonomy Code 207R00000X
License State Georgia
License Number 028440
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According to our database, Dr. Hymavati Mikkilineni M.D. NPI is 1053344051, taxonomy code is 207R00000X and license number is 028440, license state is located at Georgia. Hymavati Mikkilineni M.D. physically located at 483 Upper Riverdale Rd Sw, Riverdale GA, 30274-2584. NPI Number Hymavati Mikkilineni M.D. has the Individual type.

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1053344051 NPI number is provided on an as is basis without warranty of any kind. 1053344051 is maintained by the National Plan & Provider Enumeration System. The contents of Hymavati Mikkilineni M.D. are for informational purposes only.