Laplata Urology Center,llc

NPI #1730200155 in La Plata, Maryland

Provider Information

NPI Number
1730200155
Entity Type
Organization
Organization Name
Laplata Urology Center,llc
Primary Specialty
Urology
Enumeration Date
Apr 3, 2007
Last Updated
Nov 28, 2007

Practice Location

Address
101 CENTENNIAL ST
Address 2
SUITE E
ZIP Code
20646-5975
Phone
(301) 392-0525

Authorized Official

Name
DR. VLADIMIR KAKITELASHVILI, M.D.
Title
MEDICAL DOCTOR UROLOGY
Phone
(301) 392-0525

Specialties & Taxonomy Codes

Specialty
Urology

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