Organization
RIVERSIDE EYE ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIKINENI MANGAL M.D. (PRESIDENT)
(301) 927-2683
Entity
Organization
Contact information
Practice address
6510 KENILWORTH AVE, SUITE 1300, RIVERDALE, MD 20737-1339
(301) 699-1882
(301) 209-9456
Mailing address
6510 KENILWORTH AVE, SUITE 1300, RIVERDALE, MD 20737-1339
(301) 699-1882
(301) 209-9456
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
06/17/2006
Last updated
08/22/2020
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