Riverside Primary Care Associates Llc
LBN: Riverside Primary Care Associates Llc
Riverside Primary Care Associates Llc is an health care organization with primary practice located at 6400 Marlboro Pike , District Heights MD 20747-2841. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Riverside Primary Care Associates Llc can be contacted via phone (301) 736-7000, or through Katikineni, Madhu Mohan via phone (301) 927-7750.
Contact Information
Primary practice address
6400 Marlboro Pike
District Heights MD 20747-2841
Phone: (301) 736-7000
Fax: (301) 736-6916
Website:
Authorized official contact:
Name: Katikineni, Madhu Mohan Doctor of Medicine (MD)
Phone: (301) 927-7750
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X |
Profile Details
| NPI number | 1962456962 |
|---|---|
| LBN Legal business name | Riverside Primary Care Associates Llc |
| DBA Doing business as | |
| Authorized official | Katikineni, Madhu Mohan Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 22nd, 2006 |
| Last updated | Mar 5th, 2015 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962456962 | NPPES |
| Maryland | MEDICAID | 749501310 |
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