Organization
LAPLATA UROLOGY CENTER,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VLADIMIR KAKITELASHVILI M.D. (MEDICAL DOCTOR UROLOGY)
(301) 392-0525
Entity
Organization
Contact information
Practice address
101 CENTENNIAL ST, SUITE E, LA PLATA, MD 20646-5975
(301) 392-0525
(301) 392-0458
Mailing address
101 CENTENNIAL ST, SUITE E, LA PLATA, MD 20646-5975
(301) 392-0525
(301) 392-0458
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
D0051225
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
281CLA
CARE FIRST BC BS MD
MD
01
—
K858
CARE FIRST BC BS DC
DC
Enumeration date
04/03/2007
Last updated
11/28/2007
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