Provider profile

Individual

Radha Mikkilineni

Dermatology in Garden City, NY. NPI 1003842618, listed in the CMS NPI Registry since 06/24/2006. Bills Medicare.

NPI 1003842618Specialty DermatologyEnumerated 06/24/2006
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Registry and Medicare facts

Practice location
54 New Hyde Park Rd, Garden City, NY 11530
CMS NPI Registry
Phone
(516) 488-1313
CMS NPI Registry
Specialty
Dermatology
CMS NPI Registry
Subspecialty
Dermatopathology
CMS NPI Registry
Enumeration date
06/24/2006
CMS NPI Registry
Bills Medicare
Yes
CMS Medicare 2024
Medicare patients
2,655 Part B, 42 with Part D prescriptions
CMS Medicare 2024

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