| NPI | 1437352788 |
|---|---|
| Former Legal Business Name | RADHA MIKKILINENI, MD, PLLC |
| Entity Type | Organization |
| Authorized Contact | RADHA MIKKILINENI Owner 202-955-6995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2008-03-31 |