# RIVERSIDE PRIMARY CARE ASSOCIATES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962456962
- **Authorized official:** MADHU MOHAN KATIKINENI M.D. (PRESIDENT)
- **Authorized official phone:** (301) 927-7750

## Contact information

- **Practice address:** 6400 MARLBORO PIKE, DISTRICT HEIGHTS, MD 20747-2841
- **Practice address phone:** (301) 736-7000
- **Practice address fax:** (301) 736-6916
- **Mailing address:** 6510 KENILWORTH AVE, SUITE 1400, RIVERDALE, MD 20737-1339
- **Mailing address phone:** (301) 927-2683
- **Mailing address fax:** (301) 779-8243

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 05/22/2006
- **Last updated:** 03/05/2015