RIVERDALE VASCULAR CENTER LLC (NPI# 1548208556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548208556 |
| Entity Type | Organization |
| Organization Name | RIVERDALE VASCULAR CENTER LLC |
| Other Organization Name | HEALTH CONNECTIONS LLC |
| Practice Address |
6510 Kenilworth Ave Suite 1100 Riverdale MD 20737-1339 |
| Mailing Address |
Po Box 6324 Waldorf MD 20603-6324 |
| Practice Telephone | 2404271755 |
| Practice Fax Number | 2404271795 |
| Mailing Telephone | 2404271755 |
| Mailing Fax Number | 2404271795 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2009-04-15 |
| Authorized Official Name | MADHU MOHAN KATIKINENI (PRESIDENT) |
| Authorized Official Telephone | 2404271755 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
D0018338 | MD | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | D0025377 | MD | Allopathic & Osteopathic Physicians |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | D0024644 | MD | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
D0024644 | MD | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Health Connections LLC | Former Legal Business Name - Organization |
| Street Address |
6510 KENILWORTH AVE SUITE 1100 |
| City | RIVERDALE |
| State | MD |
| Zip Code | 20737-1339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831181775 | Robert C. Hsieh | Specialist | 6510 Kenilworth Ave, Suite 1300, Riverdale, MD 20737-1339 | 2005-08-17 |
| 1659866994 | Mosaddegh Physical Therapy Inc | Occupational Therapist | 6510 Kenilworth Ave, Ste 2200, Riverdale, MD 20737-1339 | 2018-06-28 |
| 1164761888 | G M Din, Md Pa, Inc | Specialist | 6510 Kenilworth Ave, Suite 2600, Riverdale, MD 20737-1339 | 2013-02-01 |
| 1265762280 | Robert C. Hsieh, M.d.,p.a. | Ophthalmology | 6510 Kenilworth Ave, Suite 1300, Riverdale, MD 20737-1339 | 2010-01-14 |
| 1831342575 | Surgical Associates, Chartered | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6510 Kenilworth Ave, Suite 1100, Riverdale, MD 20737-1339 | 2008-10-28 |
| 1497911028 | Bahram Erfan, Md Pa | Radiology | 6510 Kenilworth Ave, Suite 2500, Riverdale, MD 20737-1339 | 2008-08-04 |
| 1194900068 | Surgical Associates, Chartered | Surgery | 6510 Kenilworth Ave, Suite 2100, Riverdale, MD 20737-1339 | 2008-01-09 |
| 1174716252 | Metropolitan Physicians Group LLC | Internal Medicine | 6510 Kenilworth Ave, Suite 2200, Riverdale, MD 20737-1339 | 2007-08-22 |
| 1467669218 | Kenilworth Internists, P.a | Internal Medicine | 6510 Kenilworth Ave, Suite 2400, Riverdale, MD 20737-1339 | 2007-05-17 |
| 1952430464 | Gerardo M Gacad | Internal Medicine | 6510 Kenilworth Ave, Suite 2700, Riverdale, MD 20737-1339 | 2007-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382182 | Sharde K Berry | Home Health Aide | 5913 40th Ave, Riverdale, MD 20737 | 2020-10-08 |
| 1083238885 | Stanley A Mbakwa | Home Health Aide | 5702 Singnate Ln., Riverdale, MD 20737 | 2020-06-08 |
| 1033694542 | Millicent Conteh | Home Health Aide | 6833 Riverdale Road Apt 201c, Riverdale, MD 20737 | 2018-10-01 |
| 1831675388 | Violet Horsfall Osai | Home Health Aide | 5519 Nicholson Street, 202, Riverdale, MD 20737 | 2018-07-18 |
| 1801329867 | Zainab Bangura | Home Health Aide | 6831 Riverdale Road, C201, Riverdale, MD 20737 | 2017-04-06 |
| 1770035768 | Sheila Acheampong | Occupational Therapy Assistant | 4409 East West Hway, Riverdale, MD 20737 | 2016-10-26 |
| 1346614070 | Onyemauwa Mowjoodi | Licensed Vocational Nurse | 6823b Riverdale Rd # B2, Riverdale, MD 20737 | 2015-11-18 |
| 1841677531 | Andre Demetrius Brown Jr. | Home Health Aide | 4706 Oliver Street, Riverdale, MD 20737 | 2015-05-01 |
| 1568866713 | Claudia Alicia Garcia | Pharmacist | 5707 Riverdale Road, Cvs Pharmacy 1453, Riverdale, MD 20737 | 2014-10-17 |
| 1487054870 | Kilimot Emiola | Home Health Aide | 6139 64th Ave., Apt 3, Riverdale, MD 20737 | 2014-09-04 |
| Find all providers in zip 20737 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891974838 | Surgical Associates Chartered | Surgery | 6502 Kenilworth Ave, Suite 100, Riverdale, MD 20737-1340 | 2007-10-26 |
| 1649316092 | Shajih L Muhanna | Surgery | 203 Medical Way, Ste A, Riverdale, GA 30274 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326678731 | Nova Vascular Specialists, LLC | Surgery | 1952 Pulaski Hwy Ste B-2, Edgewood, MD 21040-1658 | 2020-01-24 |
| 1033683339 | Vein and Vascular Institute of Central Maryland | Surgery | 1300 York Rd Ste 200, Lutherville, MD 21093-6090 | 2019-01-20 |
| 1932651312 | Elham Oumer | Surgery | 8730 Cherry Ln Ste 10, Laurel, MD 20707-6212 | 2016-11-01 |
| 1255742961 | Marta Vismer | Surgery | 19942 Gateshead Cir, Germantown, MD 20876-6311 | 2014-05-15 |
| 1023448305 | Samer Saiedy Md Gb LLC | Surgery | 1811 Crain Hwy S, Glen Burnie, MD 21061-5561 | 2013-11-22 |
| 1285077289 | Lucy Kupersmith | Surgery | 2002 Medical Pkwy Ste 502, Annapolis, MD 21401 | 2013-04-10 |
| 1316227150 | Joshua Dearing | Surgery | 7503 Surratts Rd Ste 208, Clinton, MD 20735-3358 | 2011-08-25 |
| 1861782492 | Norman Anthony Odyniec | Surgery | 9208 Levelle Dr, Chevy Chase, MD 20815-5604 | 2011-04-16 |
| 1730480872 | James F Mcguckin Md of Md Pa | Surgery | 3450 Old Washington Rd Ste 202, Waldorf, MD 20602-3250 | 2010-11-05 |
| 1194952796 | James M Salander, Md Pa | Surgery | 11119 Rockville Pile, #204, Rockville, MD 20852 | 2009-06-22 |
| Find all providers with the same taxonomy | ||||
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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.