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Dr. Bose S. Mikkilineni, M.D. Facs

Surgery Physician in Beckley, WV · enumerated 2007 · authorized official Bose Mikkilineni, M.D. Facs, Sole Proprietor.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124141171

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Registry record

Entity type Organization (Type 2)
Legal business name Dr. Bose S. Mikkilineni, M.D. Facs
Practice address 419 Carriage Dr, Beckley, WV, 25801
Phone (304) 253-8416
Fax (866) 461-4726
Enumeration date Apr 6, 2007
Last updated in NPPES Jan 2, 2013

Taxonomy & classification

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License WV12282 (WV) Primary

Authorized official

Name Bose Mikkilineni, M.D. Facs
Title Sole Proprietor
Phone (304) 253-8416

Other identifiers

Identifier Type State Issuer
0128502000 Medicaid WV -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Dr. Bose S. Mikkilineni, M.D. Facs?
NPPES lists Bose Mikkilineni, M.D. Facs (Sole Proprietor) as the authorized official for this organization.
What is the NPI number for Dr. Bose S. Mikkilineni, M.D. Facs?
The NPI for Dr. Bose S. Mikkilineni, M.D. Facs is 1124141171, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-01-02.