Organization
RIVERDALE VASCULAR CENTER LLC
Active
Other names
Health Connections LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MADHU MOHAN KATIKINENI M.D. (PRESIDENT)
(240) 427-1755
Entity
Organization
Contact information
Practice address
6510 KENILWORTH AVE, SUITE 1100, RIVERDALE, MD 20737-1339
(240) 427-1755
(240) 427-1795
Mailing address
PO BOX 6324, WALDORF, MD 20603-6324
(240) 427-1755
(240) 427-1795
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
D0018338
MD
208600000X
Surgery Physician
D0025377
MD
2086S0129X
Vascular Surgery Physician
Primary
D0024644
MD
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
D0024644
MD
Other
Enumeration date
06/02/2006
Last updated
04/15/2009
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