Riverside Eye Associates, P.a.

NPI #1033154752 in Riverdale, Maryland

Provider Information

NPI Number: 1033154752
Entity Type: Organization
Organization Name: Riverside Eye Associates, P.a.
Primary Specialty: Ophthalmology
Enumeration Date: Jun 17, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 6510 KENILWORTH AVE
Address 2: SUITE 1300
City: Riverdale
State: Maryland
ZIP Code: 20737-1339
Phone: (301) 699-1882

Authorized Official

Name: KATIKINENI MANGAL, M.D.
Title: PRESIDENT
Phone: (301) 927-2683

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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