ADDALA PATEL AND ASSOCIATES PC (NPI# 1497704027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497704027 |
| Entity Type | Organization |
| Organization Name | ADDALA PATEL AND ASSOCIATES PC |
| Other Organization Name | SOUTHERN MARYLAND CARDIOLOGY ASSOCIATES |
| Practice Address |
9135 Piscataway Rd Suite 210 Clinton MD 20735-2549 |
| Practice Telephone | 3018681380 |
| Practice Fax Number | 3018684514 |
| Mailing Telephone | 3018681380 |
| Mailing Fax Number | 3018684514 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2009-07-21 |
| Authorized Official Name | SRINIVAS ADDALA (OWNER) |
| Authorized Official Telephone | 3018681380 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUECROSS MARYLAND | 12BBSO | 01 | |
| DC | 038118900 | 05 | |
| BLUECROSS FEDERAL | 4051 | 01 | |
| MD | 409913300 | 05 |
| Other Name | Type Code |
|---|---|
| Southern Maryland Cardiology Associates | Doing Business As Name - Organization |
| Street Address |
9135 PISCATAWAY RD SUITE 210 |
| City | CLINTON |
| State | MD |
| Zip Code | 20735-2549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215934922 | Jay Stuart Copeland | Urology | 9135 Piscataway Rd, Ste 330, Clinton, MD 20735-2549 | 2005-07-07 |
| 1306321443 | Carine Gouetso Ndeko | Nurse Practitioner | 9135 Piscataway Rd, Clinton, MD 20735-2549 | 2018-09-25 |
| 1588150262 | Henry Tama | Nurse Practitioner | 9135 Piscataway Rd, Clinton, MD 20735-2549 | 2018-07-06 |
| 1629595533 | Michon Lynette Powell | Nutritionist | 9135 Piscataway Rd, Clinton, MD 20735-2549 | 2017-08-23 |
| 1598281818 | Muhammad Abdul-raheem | Psychologist | 9135 Piscataway Rd, Clinton, MD 20735-2549 | 2017-08-17 |
| 1144779158 | Mary Kathryn Proctor | Registered Nurse | 9135 Piscataway Rd, Suite 420, Clinton, MD 20735-2549 | 2016-10-03 |
| 1568823268 | Hema Venkata Naga Rajesh Vemuri | Physical Therapist | 9135 Piscataway Rd, Ste 305, Clinton, MD 20735-2549 | 2016-03-09 |
| 1932569050 | Melissa Luttrell | Occupational Therapist | 9135 Piscataway Rd, 305, Clinton, MD 20735-2549 | 2016-03-02 |
| 1588051155 | Premier Orthopedics, P.a. | Orthopaedic Surgery | 9135 Piscataway Rd, Suite 300, Clinton, MD 20735-2549 | 2015-04-22 |
| 1710373576 | Ashley Watkins | Counselor | 9135 Piscataway Rd, Suite 245, Clinton, MD 20735-2549 | 2015-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940456 | Elise Olson | Occupational Therapist | 9135 Piscataway Rd, Suite 305, Clinton, MD 20735 | 2019-03-12 |
| 1437651742 | Total You Integrative Healthcare Inc | Clinic/Center | 9135 Piscataway Rd Ste 410, Clinton, MD 20735 | 2018-03-02 |
| 1386193233 | Benedicta C Osamor | Home Health Aide | 6808 Purple Lilac Ln, Clinton, MD 20735 | 2016-10-03 |
| 1669926309 | Frankline Ngozi Obi I | Home Health Aide | 8111 Highland Meadows Dr, Clinton, MD 20735 | 2016-08-11 |
| 1770952459 | Adventures One, Inc. | Clinic/Center | 7121 Old Alexandria Ferry Rd., Clinton, MD 20735 | 2015-09-23 |
| 1730574831 | Lindsey Degeorge | Emergency Medicine | 7503 Surratts Rd Dept Of, Clinton, MD 20735 | 2015-04-06 |
| 1316341860 | Margaret Laurence-whitlock | Speech-Language Pathologist | 5807 Terence Dr., Laurence Learning Center, Clinton, MD 20735 | 2014-10-13 |
| 1699103622 | Dcps | Social Worker | 5504 Trout Run Rd, Clinton, MD 20735 | 2013-10-30 |
| 1902232614 | Rafael Antonio Acosta | Dentist | 7905 Malcolm Rd Ste 300, Clinton, MD 20735 | 2013-09-25 |
| 1407135874 | Richelle Wilson Harvey | Occupational Therapist | 8202 Shackelford Way, Clinton, MD 20735 | 2011-08-16 |
| Find all providers in zip 20735 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326662347 | Christopher Glenn Bruce | Internal Medicine | Building 10, Rm 2c713, 10 Center Drive, Bethesda, MD 20814-2081 | 2020-06-05 |
| 1003324989 | Cardiac Cin of Dc LLC | Internal Medicine | 1 Research Ct Ste 450c, Rockville, MD 20850-3221 | 2018-01-13 |
| 1447680137 | Cardiovascular Associates of Maryland LLC | Internal Medicine | 2021b Emmorton Rd Ste 110, Bel Air, MD 21015-8965 | 2013-11-18 |
| 1871729244 | Jonathan Chrispin | Internal Medicine | 600 N Wolfe St Ofc 1638, Baltimore, MD 21287-0005 | 2009-05-29 |
| 1477542306 | Mehrdad Mostaan | Internal Medicine | 6130 Oxon Hill Rd, Suite 301, Oxon Hill, MD 20745-3168 | 2005-10-13 |
| 1063411106 | Joann Urquhart | Internal Medicine | 9420 Key West Ave Ste 340, Rockville, MD 20850-6257 | 2005-07-20 |
| 1497234959 | Arshad Ameer Khan | Internal Medicine | The Johns Hopkins Hospital, 1800 Orleans Street, Baltimore, MD 21287 | 2018-08-07 |
| 1972975894 | Frederick Cardiology Center PC | Internal Medicine | 801 Toll House Ave Ste B2, Frederick, MD 21701-6110 | 2015-10-30 |
| 1760864870 | Lifebridge Community Physicians, Inc | Internal Medicine | 8114 Sandpiper Cir, Suite 206, Nottingham, MD 21236-4934 | 2015-06-25 |
| 1336561091 | Chesapeake Cardiovascular Associates LLC | Internal Medicine | 3333 N Calvert St, Jpb Suite 500, Baltimore, MD 21218-2867 | 2014-01-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.