Rao S. Mikkilineni Md, Llc

NPI 1124256623 - Internal Medicine - 207RP1001X

NPI Details
NPI 1124256623
Enumeration Date 06/24/2009
Last Updated 10/19/2011
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name RAO S. RAO
Position OWNER/PHYSICIAN
Phone (201) 918-2293
Fax (201) 918-2243
Practice Location
377 JERSEY AVE
SUITE 470
JERSEY CITY NJ, 07302-4393, US
Phone (201) 918-2293
Fax (201) 918-2243
Business Location
PO BOX 5052
BASKING RIDGE NJ, 07920-5052, US
Phone (973) 202-6120
Fax (973) 597-1076
Toxanomy
Taxonomy Code 207RP1001X
License State New Jersey
License Number MA51744
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According to our database, Rao S. Mikkilineni Md, Llc NPI is 1124256623, taxonomy code is 207RP1001X and license number is MA51744, license state is located at New Jersey. Rao S. Mikkilineni Md, Llc physically located at 377 Jersey Ave, Jersey City NJ, 07302-4393. NPI Number 1033115704 has the healthcare provider type.

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1124256623 NPI number is provided on an as is basis without warranty of any kind. 1124256623 is maintained by the National Plan & Provider Enumeration System. The contents of Rao S. Mikkilineni Md, Llc are for informational purposes only.