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

Dr. Radha Mikkilineni, MD

Individual provider Dermatopathology Physician · NPI 1003842618

Dr. Radha Mikkilineni, MD is a Dermatology in Garden City, New York. Graduated from Georgetown University School of Medicine in 1998, 28 years ago. Practices with Middletown Medical PC, a 177-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
28
Trained at
Georgetown University School of Medicine
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

54 New Hyde Park Rd
Garden City, NY 11530-3909
Phone: (516) 488-1313
Show map & directions

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

Additional practice locations (3)

  • 1120 19th St Nw, Washington, DC 20036-3605 — (202) 306-2472
  • 700 Park Ave, New York, NY 10021-0104 — (212) 517-6555
  • 34 Bay St Ste 201, Sag Harbor, NY 11963-3104 — (631) 919-5087

Specialties & licences

Dermatopathology Physician (primary) Taxonomy 207ND0900X · Licence 261852 (NY)

Record details

NPI number1003842618
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 24, 2006
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice Middletown Medical Pc — 177 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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