Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr Bose S. Mikkilineni, MD FACS

Organization Surgery Physician · NPI 1124141171

Dr Bose S. Mikkilineni, MD FACS is a Surgery Physician in Beckley, West Virginia. Licensed in West Virginia. Registered with an NPI since 2007.

Licensed in
WV
In the registry since
2007

Practice location Address checks out

419 Carriage Dr
Beckley, WV 25801-2805
Phone: (304) 253-8416
Fax: (866) 461-4726
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence WV12282 (WV)

Record details

NPI number1124141171
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bose Mikkilineni, M.D. Facs — Sole Proprietor · (304) 253-8416
NPI enumeratedApril 6, 2007
Last updated in NPPESJanuary 2, 2013
Mailing address419 Carriage Dr, Beckley, WV 25801-2805

Other providers in Beckley