Riverdale Vascular Center LLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

D0024644 Issued in MD

Legal business name

RIVERDALE VASCULAR CENTER LLC

Practice address

6510 Kenilworth Ave
Suite 1100
Riverdale, MD 20737-1339

Phone

(240) 427-1755

Fax

(240) 427-1795

NPI assigned

Jun 2, 2006

Last updated

Apr 15, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Madhu Mohan Katikineni, M.D.

Title

President

Phone

(240) 427-1755

Specialties & licenses 4

Addresses

Other names 1

• Health Connections LLC Former legal business name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239753600000",
    "number": "1548208556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6324",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206036324",
            "telephone_number": "240-427-1755",
            "fax_number": "240-427-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6510 KENILWORTH AVE",
            "address_2": "SUITE 1100",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371339",
            "telephone_number": "240-427-1755",
            "fax_number": "240-427-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERDALE VASCULAR CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2009-04-15",
        "status": "A",
        "authorized_official_last_name": "KATIKINENI",
        "authorized_official_first_name": "MADHU",
        "authorized_official_middle_name": "MOHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-427-1755",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0018338",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0025377",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MD",
            "license": "D0024644",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MD",
            "license": "D0024644",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Connections LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Rivedale Dental Center LLC
• Riverdale Chiropractic, P.C.
• Riverdale Fire Department Inc
• Riverdale Park Pediatrics PC
• Riverdale Radiology, LLC
• Riverside Diabetes Center LLC
• Riverside Eye Associates, P.a.
• Riverside Medical Associates PA (None)
• Robert C. Hsieh, M.D.,P.a.
• Mariama K Rogers

• Vascular Surgery Physician in Riverdale, MD
• Providers in Riverdale, MD by specialty
• Vascular Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.