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Organization

VIDAVASCULAR SOUTHERN MARYLAND LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MEGHAL ANTANI MD, MBA (MEDICAL DIRECTOR)
(866) 800-2346
Entity
Organization

Contact information

Practice address
4255 ALTAMONT PL STE 101, WHITE PLAINS, MD 20695-3066
(866) 800-2346
Mailing address
4255 ALTAMONT PL STE 101, WHITE PLAINS, MD 20695-3066
(866) 800-2346

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary

Other

Enumeration date
07/22/2026
Last updated
07/22/2026
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