Provider Demographics
NPI:1558649558
Name:MIKKINENI, KARTHIK (MD)
Entity Type:Individual
Prefix:
First Name:KARTHIK
Middle Name:
Last Name:MIKKINENI
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1320 EL CAPITAN DR
Mailing Address - Street 2:STE 120
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-6260
Mailing Address - Country:US
Mailing Address - Phone:925-334-5800
Mailing Address - Fax:925-680-0212
Practice Address - Street 1:1320 EL CAPITAN DR
Practice Address - Street 2:STE 120
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94526-6260
Practice Address - Country:US
Practice Address - Phone:925-334-5800
Practice Address - Fax:925-680-0212
Is Sole Proprietor?:No
Enumeration Date:2011-07-26
Last Update Date:2020-07-02
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Provider Licenses
StateLicense IDTaxonomies
CAA1515022086S0129X, 2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery