# RIVERSIDE MEDICAL ASSOCIATES PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NONE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730132648
- **Authorized official:** MADHU MOHAN KATIKINENI MD (PRESIDENT)
- **Authorized official phone:** (301) 927-0088

## Contact information

- **Practice address:** 6502 KENILWORTH AVE, SUITE 100, RIVERDALE, MD 20737-1370
- **Practice address phone:** (301) 927-0088
- **Practice address fax:** (301) 927-7239
- **Mailing address:** 6502 KENILWORTH AVE, SUITE 100, RIVERDALE, MD 20737-1370
- **Mailing address phone:** (301) 927-0088
- **Mailing address fax:** (301) 927-7239

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |
| 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