Organization
ADDALA PATEL AND ASSOCIATES PC
Active
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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