Kallukalam Joseph Mathew, MD | |
6504 Kenilworth Ave, Suite 200, Riverdale, MD 20737-1386 | |
(301) 927-8011 | |
(301) 699-1584 |
Full Name | Kallukalam Joseph Mathew |
---|---|
Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 6504 Kenilworth Ave, Riverdale, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720033392 | NPI | - | NPPES |
060042761 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | D0014799 (Maryland) | Primary |
Entity Name | Riverside Medical Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730132648 PECOS PAC ID: 9830086487 Enrollment ID: O20040301000165 |
Mailing Address | Practice Location Address |
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Kallukalam Joseph Mathew, MD 6504 Kenilworth Ave, Suite 200, Riverdale, MD 20737-1386 Ph: (301) 927-8011 | Kallukalam Joseph Mathew, MD 6504 Kenilworth Ave, Suite 200, Riverdale, MD 20737-1386 Ph: (301) 927-8011 |
Reva Gill, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 6510 Kenilworth Avenue, Suite 2400, Riverdale, MD 20737 Phone: 301-927-2711 Fax: 301-277-4834 | |
Vilma Mascarenhas, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 6502 Kenilworth Ave, Suite 100, Riverdale, MD 20737 Phone: 301-927-0088 Fax: 301-927-7239 | |
Madhu Mohan Katikineni, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 6510 Kenilworth Ave Ste 1200, Riverdale, MD 20737 Phone: 301-927-7750 Fax: 240-582-7411 | |
Sureshkumar Muttath, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 5711 Sarvis Ave, Suite 200, Riverdale, MD 20737 Phone: 301-277-8100 Fax: 301-277-0668 | |
Dr. Joan Parambi, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 6502 Kenilworth Ave Ste 100, Riverdale, MD 20737 Phone: 301-970-0088 Fax: 301-927-7239 | |
Dr. Tanveer A. Malik, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 6504 Kenilworth Ave, Suite 200, Riverdale, MD 20737 Phone: 301-927-8011 Fax: 301-699-1584 | |
Mangal Katikineni, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 6502 Kenilworth Ave, Suite 100, Riverdale, MD 20737 Phone: 301-927-0088 Fax: 301-927-7239 |