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Organization
RIVERSIDE MEDICAL ASSOCIATES PA
Active
Organization
RIVERSIDE MEDICAL ASSOCIATES PA
Active
Other names
NONE
Organization subpart
No
Provider details
NPI number
Authorized official
MADHU MOHAN KATIKINENI MD (PRESIDENT)
(301) 927-0088
Entity
Organization
Contact information
Practice address
6502 KENILWORTH AVE, SUITE 100, RIVERDALE, MD 20737-1370
(301) 927-0088
(301) 927-7239
Mailing address
6502 KENILWORTH AVE, SUITE 100, RIVERDALE, MD 20737-1370
(301) 927-0088
(301) 927-7239
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
NULL
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
207RG0100X
Gastroenterology Physician
—
NULL
207RG0100X
Gastroenterology Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
NULL
207RH0003X
Hematology & Oncology Physician
—
—
207RN0300X
Nephrology Physician
—
NULL
207RN0300X
Nephrology Physician
—
—
207UN0901X
Nuclear Cardiology Physician
—
NULL
207UN0901X
Nuclear Cardiology Physician
—
—
2085B0100X
Body Imaging Physician
—
NULL
2085B0100X
Body Imaging Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
NULL
2085R0202X
Diagnostic Radiology Physician
—
—
208800000X
Urology Physician
—
NULL
208800000X
Urology Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Enumeration date
05/19/2006
Last updated
01/08/2009
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