Organization
HEALTHRISE LOTUS CARE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIBHAKAR J MODY M.D. (OWNER)
(301) 699-1515
Entity
Organization
Contact information
Practice address
7307,BALTIMORE AVE., 212, COLLEGE PARK, MD 20740
(301) 699-1515
(301) 779-3685
Mailing address
7307,BALTIMORE AVE., 212, COLLEGE PARK, MD 20740
(301) 699-1515
(301) 779-3685
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
MD
Other
Enumeration date
06/09/2006
Last updated
06/02/2008
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