Individual
MANGAL KATIKINENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6502 KENILWORTH AVE, SUITE 100, RIVERDALE, MD 20737-1340
(301) 927-0088
(301) 927-7239
Mailing address
6504 KENILWORTH AVE, SUITE 200, RIVERDALE, MD 20737-1386
(301) 927-0088
(301) 927-7239
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
D0026230
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079201200
—
MD
Enumeration date
05/20/2006
Last updated
11/09/2010
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