OrganizationActive
Dr. Bose S. Mikkilineni, M.D. Facs
NPI 1124141171 · Surgery Physician · Beckley, WV
Provider details
- NPI number
- 1124141171
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bose Mikkilineni, M.D. Facs, Sole Proprietor(304) 253-8416
- License
- WV12282 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
419 Carriage Dr
Beckley, WV 25801-2805
Phone: (304) 253-8416
Fax: (866) 461-4726
Approximate (ZIP-level) locationGet directions
Mailing address
419 Carriage Dr
Beckley, WV 25801-2805
Registry dates
- Enumerated
- 2007-04-06
- Last updated
- 2013-01-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.