Individual provider · Type 1 NPI

Sesank Sai Mikkilineni, MD

Vascular Surgery Physician · Lawrenceville, GA

NPI number 1780070235 Active

Practice location

601 Professional Dr Ste A220
Lawrenceville, GA 30046-7698

Fax (678) 701-9860

Mailing address

3000 Tulane Ave, Apt 425
New Orleans, LA 70119-7292

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Vascular Surgery Physician Primary 2086S0129X85386 (GA)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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About NPI 1780070235

Sesank Sai Mikkilineni, MD's National Provider Identifier is 1780070235, issued on Apr 11, 2015. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Lawrenceville, GA. The record was last updated on Jun 17, 2020.