Organization
RIVERSIDE MEDICAL ASSOCIATES PA
Active
Other names
NONE
Organization subpart
No
Provider details
NPI number
Authorized official
MADHU MOHAN KATIKINENI MD (PRESIDENT)
(301) 927-0088
Entity
Organization
Contact information
Practice address
6502 KENILWORTH AVE, SUITE 100, RIVERDALE, MD 20737-1370
(301) 927-0088
(301) 927-7239
Mailing address
6502 KENILWORTH AVE, SUITE 100, RIVERDALE, MD 20737-1370
(301) 927-0088
(301) 927-7239
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
207RG0100X
Gastroenterology Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RN0300X
Nephrology Physician
—
—
207UN0901X
Nuclear Cardiology Physician
—
—
2085B0100X
Body Imaging Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208800000X
Urology Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
299741000
—
MD
Enumeration date
05/19/2006
Last updated
01/08/2009
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