KARTHIK MIKKINENI (NPI# 1558649558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558649558 |
| Entity Type | Individual |
| Full Name | KARTHIK MIKKINENI |
| Credential | MD |
| Practice Address |
1320 El Capitan Dr Ste 120 Danville CA 94526-6260 |
| Practice Telephone | 9253345800 |
| Practice Fax Number | 9256800212 |
| Mailing Telephone | 9253345800 |
| Mailing Fax Number | 9256800212 |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2020-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
A151502 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5645 Main St, Flushing, NY 113555045 | 7184961702 |
| Street Address |
1320 EL CAPITAN DR STE 120 |
| City | DANVILLE |
| State | CA |
| Zip Code | 94526-6260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336143882 | Murali Dharan | Surgery | 1320 El Capitan Dr, Suite 120, Danville, CA 94526-6258 | 2005-06-10 |
| 1912442062 | Tarley Dialysis LLC | Clinic/Center | 1320 El Capitan Dr, Ste 220, Danville, CA 94526-6258 | 2016-12-28 |
| 1134537178 | Vikram Talwar Md Incorporated | Orthopaedic Surgery | 1320 El Capitan Dr, Suite 200, Danville, CA 94526-6258 | 2014-07-22 |
| 1073920922 | Okamura Medical Group, Inc. | Family Medicine | 1320 El Capitan Dr, Suite 310, Danville, CA 94526-6258 | 2014-07-11 |
| 1679991319 | Judianne Walker D.p.m. Corp. | Podiatrist | 1320 El Capitan Dr, #410, Danville, CA 94526-6258 | 2014-03-31 |
| 1669730339 | Salim M. Shelby Md A Professional Corporation | Specialist | 1320 El Capitan Dr, Suite 110, Danville, CA 94526-6258 | 2012-05-01 |
| 1952698078 | Executive Surgery Center, Inc. | Clinic/Center | 1320 El Capitan Dr, Suite 100, Danville, CA 94526-6258 | 2011-07-10 |
| 1093960643 | Aleda A. Longwell | Dermatology | 1320 El Capitan Dr, Danville, CA 94526-6258 | 2008-11-24 |
| 1386856839 | Tanveer A Khan | Surgery | 1320 El Capitan Dr, Ste 120, Danville, CA 94526-6260 | 2007-05-04 |
| 1063537371 | Robert A. Rovner Md A Professional Corporation | Orthopaedic Surgery | 1320 El Capitan Dr, Suite 200, Danville, CA 94526-6258 | 2007-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346706363 | Todd M Yonemura Dds, Apc | Dentist | 400 El Cerro Blvd., Suite #103, Danville, CA 94526 | 2019-02-14 |
| 1821585415 | Cynthia N Atchoukeu | Behavior Technician | 811 San Ramon Valley Suite 100, Danville, CA 94526 | 2018-04-18 |
| 1649708850 | Michelle Nicole Kolander | Specialist/Technologist | 209 Rutherford Dr, Danville, CA 94526 | 2017-06-01 |
| 1396155594 | Laurie Elizabeth Wallis | Registered Nurse | 145 Town & Country Blvd., Suite 106, Danville, CA 94526 | 2014-04-28 |
| 1437585486 | Brielle Shipman | Chiropractor | 391 Diablo Rd, Ste B, Danville, CA 94526 | 2013-09-23 |
| 1841626298 | Gloria Lynn Kopp | Nurse Practitioner | 309 Windstream Place, Danville, CA 94526 | 2013-09-17 |
| 1023378635 | Vision Dynamics Optometric Center | Optometrist | 417 Sycamore Valley Road West, Danville, CA 94526 | 2012-05-17 |
| 1346517620 | Adam Wallach,m.d. A Professional Corporation | Specialist | 400 El Cerro Blvd., Ste. 204, Danville, CA 94526 | 2011-11-30 |
| 1184949661 | Judianne Marguriette Walker | Podiatrist | 1320 El Capitan Ste 410, Danville, CA 94526 | 2010-03-29 |
| 1619108685 | Brandon Riggins | Counselor | 115 Town and Country Dr., Danville, CA 94526 | 2009-08-07 |
| Find all providers in zip 94526 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255330783 | Max Phillip Levine | Surgery | 1037 Main St, Danville, VA 24541-1815 | 2005-07-18 |
| 1336143882 | Murali Dharan | Surgery | 1320 El Capitan Dr, Suite 120, Danville, CA 94526-6258 | 2005-06-10 |
| 1578826749 | Melissa N Loja | Surgery | 1320 El Capitan Dr Ste 120, Danville, CA 94526-6260 | 2012-06-21 |
| 1447576079 | Gregory G Salzler | Surgery | 100 N Academy Ave, Danville, PA 17822 | 2010-04-07 |
| 1386856839 | Tanveer A Khan | Surgery | 1320 El Capitan Dr, Ste 120, Danville, CA 94526-6260 | 2007-05-04 |
| 1891819512 | Robert P Garvin | Surgery | 100 N Academy Ave, Danville, PA 17822-2360 | 2007-03-19 |
| 1710065586 | Srinivas R. Ramachandra | Surgery | 1320 El Capitan Dr Ste 120, Danville, CA 94526-6260 | 2006-11-01 |
| 1215958715 | John L Gray | Surgery | Geisinger Medical Ctr, 100 N. Academy Ave M.c. 21-50, Danville, PA 17822-0001 | 2006-07-21 |
| 1558314864 | Emad M. Zakhary | Surgery | 100 N Academy Ave, Danville, PA 17822-2150 | 2006-05-18 |
| 1598732596 | David P. Franklin | Surgery | 100 N Academy Ave, Danville, PA 17822-2150 | 2006-03-08 |
| Find all providers in DANVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.