Organization Active NPI

Vidavascular Southern Maryland LLC

  • Vascular & Interventional Radiology Physician
  • White Plains, MD
National Provider Identifier
1639090053
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
VIDAVASCULAR SOUTHERN MARYLAND LLC
Practice address
4255 Altamont PL Ste 101
White Plains, MD 20695-3066
Phone
(866) 800-2346
NPI assigned
Jul 22, 2026
Last updated
Jul 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Authorized official

Name
Meghal Antani, MD, MBANPI 1215927900
Title
Medical Director
Phone
(866) 800-2346

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X Primary

Addresses

Primary practice location

4255 Altamont PL Ste 101
White Plains, MD 20695-3066

Mailing address

4255 Altamont PL Ste 101
White Plains, MD 20695-3066
Phone (866) 800-2346

National Provider Directory

National Provider Directory

Locations

4255 Altamont Pl
Ste 101
White Plains, MD 20695
Phone (240) 412-0051

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1784678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1639090053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4255 ALTAMONT PL STE 101",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953066",
            "telephone_number": "866-800-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 ALTAMONT PL STE 101",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953066",
            "telephone_number": "866-800-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDAVASCULAR SOUTHERN MARYLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-22",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "ANTANI",
        "authorized_official_first_name": "MEGHAL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "866-800-2346",
        "authorized_official_credential": "MD, MBA"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.