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NPISignal

Individual Healthcare Provider

Radha Mikkilineni, M.D.

NPI Record: ActiveDermatology — Dermatopathology
NPI1003842618
Garden City, New York

Provider's NPPES record last updated: December 2, 2025

Overview

Entity Type
Individual Healthcare Provider
NPI
1003842618
Primary Specialty
Dermatology — Dermatopathology
Practice Location
Garden City, New York
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 17, 2026, 10:51 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Dermatology

    Dermatopathology

    Allopathic & Osteopathic Physicians

    Primary

    A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.

    Taxonomy code 207ND0900X

Provider-Reported License Information

Dermatology (New York)
261852
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

54 New Hyde Park Rd

Garden City, New York 11530-3909

Phone: (516) 488-1313

Additional Practice Location

34 Bay St Ste 201

Sag Harbor, New York 11963-3104

Phone: (631) 919-5087

Fax: (631) 899-3478

Additional Practice Location

1120 19th St Nw

Suite 250

Washington, District of Columbia 20036-3605

Phone: (202) 306-2472

Fax: (202) 723-2432

Additional Practice Location

700 Park Ave

New York, New York 10021-0104

Phone: (212) 517-6555

Fax: (212) 472-6796

Record Information

Enumeration Date
June 24, 2006
Provider's NPPES Record Last Updated
December 2, 2025
Certification Date
December 2, 2025
NPISignal NPPES Dataset
August 2026

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