Mikkilineni, Rao S

Mikkilineni, Rao S is an sole proprietor health care provider with primary practice located at 483 Upper Riverdale Rd Sw, Suite A South Atlanta Pulmonary & Critical Care Ass, Riverdale GA 30274-2584. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Mikkilineni, Rao S can be contacted via phone (770) 991-3888.

Contact Information

Primary practice address
483 Upper Riverdale Rd Sw, Suite A South Atlanta Pulmonary & Critical Care Ass Riverdale GA 30274-2584
Phone: (770) 991-3888
Fax: (770) 994-0278
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 023852 Georgia
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 023852 Georgia
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X GA023852 Georgia
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X GA023852 Georgia

Profile Details

NPI number 1235130808
LBN Legal business name Mikkilineni, Rao S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2005
Last updated Mar 20th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235130808 NPPES
Georgia MEDICAID 00322308A

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