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NPI 1104867217

OrganizationActive

Healthrise Lotus Care,llc

NPI 1104867217 · Gynecology Physician · College Park, MD

Provider details

NPI number: 1104867217
Entity type: Organization
Primary specialty: Gynecology PhysicianAllopathic & Osteopathic Physicians
Authorized official: Vibhakar Mody, Owner

Practice location

7307,baltimore Ave.

212

College Park, MD 20740

Phone: (301) 699-1515

Fax: (301) 779-3685

More MD providers

Mailing address

7307,baltimore Ave.

College Park, MD 20740

Registry dates

Enumerated: 2006-06-09
Last updated: 2008-06-02

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Healthrise Lotus Care,llc — NPI 1104867217, College Park, MD | NPI Central