Individual
DR. MITIKA T MADDULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
520 UPPER CHESAPEAKE DR, SUITE 201, BEL AIR, MD 21014-4339
(443) 643-3800
(443) 643-3856
Mailing address
520 UPPER CHESAPEAKE DR, SUITE 201, BEL AIR, MD 21014-4339
(443) 642-3800
(443) 643-3856
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D0079575
MD
Other
Enumeration date
05/21/2009
Last updated
08/12/2015
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