| Riverside Primary Care Associates Llc | |
|
6400 Marlboro Pike District Heights MD 20747-2841 | |
| (301) 736-7000 | |
| (301) 736-6916 |
| Full Name | Riverside Primary Care Associates Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6400 Marlboro Pike, District Heights, Maryland |
| Authorized Official Name and Position | Madhu Mohan Katikineni (PRESIDENT) |
| Authorized Official Contact | 3019277750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Primary Care Associates Llc 6510 Kenilworth Ave Suite 1400 Riverdale MD 20737-1339 Ph: (301) 927-2683 | Riverside Primary Care Associates Llc 6400 Marlboro Pike District Heights MD 20747-2841 Ph: (301) 736-7000 |
| NPI Number | 1962456962 |
|---|---|
| Provider Enumeration Date | 05/22/2006 |
| Last Update Date | 03/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962456962 | NPI | - | NPPES |
| 749501310 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
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