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Contact Information

SESANK S MIKKILINENI, MD
601 PROFESSIONAL DR STE A220
LAWRENCEVILLE, GA30046-7698
 Phone: 470-325-1160
 Fax: 678-701-9860
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for SESANK S MIKKILINENI · (Male)

NPI # 1780070235
Status Active
Credentials MD
Entity Individual
Enumeration date 04/11/2015
Last updated 06/17/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 85386
Hospital affiliation(s)
  • GWINNETT MEDICAL CENTER - (Acute Care)
    1000 MEDICAL CENTER BOULEVARD
    LAWRENCEVILLE, GA 30045
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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