Organization
LAPLATA AMBULATORY UROLOGICAL CENTER, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VLADIMIR KAKITELSHVILI M.D. (DIRECTOR)
(301) 392-0525
Entity
Organization
Contact information
Practice address
101 CENTENNIAL ST, SUITE E, LA PLATA, MD 20646-5975
(301) 392-0525
(301) 392-0458
Mailing address
101 CENTENNIAL ST, SUITE E, LA PLATA, MD 20646-5975
(301) 392-0525
(301) 392-0458
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
MD
Other
Enumeration date
03/21/2008
Last updated
03/27/2009
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