MANGAL KATIKINENI (NPI# 1437103595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437103595 |
| Entity Type | Individual |
| Full Name | MANGAL KATIKINENI |
| Other Name | MANGAL KATIKINENI |
| Credential | M.D. |
| Practice Address |
6502 Kenilworth Ave Suite 100 Riverdale MD 20737-1340 |
| Mailing Address |
6504 Kenilworth Ave Suite 200 Riverdale MD 20737-1386 |
| Practice Telephone | 3019270088 |
| Practice Fax Number | 3019277239 |
| Mailing Telephone | 3019270088 |
| Mailing Fax Number | 3019277239 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2010-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
D0026230 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 079201200 | 05 |
| Street Address |
6502 KENILWORTH AVE SUITE 100 |
| City | RIVERDALE |
| State | MD |
| Zip Code | 20737-1340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194778019 | Vilma Mascarenhas | Internal Medicine | 6502 Kenilworth Ave, Suite 100, Riverdale, MD 20737-1340 | 2006-05-19 |
| 1891974838 | Surgical Associates Chartered | Surgery | 6502 Kenilworth Ave, Suite 100, Riverdale, MD 20737-1340 | 2007-10-26 |
| 1659568202 | Surgical Associates Chartered | Surgery | 6502 Kenilworth Ave, Suite 200, Riverdale, MD 20737-1340 | 2007-09-27 |
| 1629016076 | University Center for Ambulatory Surgery, LLC | Clinic/Center | 6502 Kenilworth Ave, Suite 200, Riverdale, MD 20737-1340 | 2006-06-04 |
| 1730132648 | Riverside Medical Associates Pa | Internal Medicine | 6502 Kenilworth Ave, Suite 100, Riverdale, MD 20737-1370 | 2006-05-19 |
| 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 | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063520419 | Rajinikanth Seshan | Internal Medicine | 253 Upper Riverdale Rd Sw, Suite B, Riverdale, GA 30274-4945 | 2006-08-27 |
| 1679549489 | Paul H Liebman Md PC | Internal Medicine | 155 Medical Way, Ste D, Riverdale, GA 30274 | 2006-02-23 |
| 1932388527 | Paul Harvey Liebman | Internal Medicine | 155 Medical Way, Suite D, Riverdale, GA 30274-4940 | 2007-10-30 |
| 1942345970 | Babak Razi | Internal Medicine | 4404 Queensbury Rd, Suite 100, Riverdale, MD 20737-1068 | 2007-02-20 |
| 1518972306 | Abraham Bake Dabela | Internal Medicine | 4404 Queensbury Rd, Riverdale, MD 20737-1068 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144855024 | Prince George's Kidney Care, LLC | Internal Medicine | 12200 Annapolis Rd Ste 233, Glenn Dale, MD 20769-9182 | 2020-03-11 |
| 1093294910 | Metropolitan Vascular Institute LLC | Internal Medicine | 12070 Old Line Ctr Ste 100, Waldorf, MD 20602 | 2018-08-10 |
| 1801391933 | Southern Maryland Nephrology and Hypertension | Internal Medicine | 9131 Piscataway Rd Ste 750, Clinton, MD 20735-2581 | 2018-03-29 |
| 1649724931 | Howard A. Austin IIi | Internal Medicine | National Institutes of Health Nih, Crc Bldg. 10/room 5-2551, Bethesda, MD 20892-0001 | 2016-08-04 |
| 1700269230 | Mohammadali Anwar | Internal Medicine | 4475 Regency Pl Ste 201, White Plains, MD 20695-3074 | 2015-07-01 |
| 1467834556 | Neeharik Mareedu | Internal Medicine | 12502 Willowbrook Rd Ste 400, Cumberland, MD 21502-6567 | 2015-06-24 |
| 1285031765 | Hossam Abdalla | Internal Medicine | 25 Crossroads Dr Ste 205, Owings Mills, MD 21117-5533 | 2014-11-26 |
| 1780094219 | Harshal P Shah | Internal Medicine | 8926 Woodyard Rd Ste 602, Clinton, MD 20735-4235 | 2014-05-06 |
| 1346683935 | Kryt Chattrabhuti | Internal Medicine | 116 Defense Hwy Ste 202, Annapolis, MD 21401-7045 | 2013-04-12 |
| 1962744268 | Mohamad Hanouneh | Internal Medicine | 5601 Loch Raven Blvd Ste 3n, Baltimore, MD 21239 | 2013-03-25 |
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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.