Organization
ADDALA PATEL AND ASSOCIATES PC
Active
Other names
Southern Maryland Cardiology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
SRINIVAS ADDALA MD (OWNER)
(301) 868-1380
Entity
Organization
Contact information
Practice address
9135 PISCATAWAY RD, SUITE 210, CLINTON, MD 20735-2549
(301) 868-1380
(301) 868-4514
Mailing address
9135 PISCATAWAY RD, SUITE 210, CLINTON, MD 20735-2549
(301) 868-1380
(301) 868-4514
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038118900
—
DC
01
—
12BBSO
BLUECROSS MARYLAND
—
01
—
4051
BLUECROSS FEDERAL
—
05
—
409913300
—
MD
Enumeration date
05/10/2006
Last updated
07/21/2009
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