Provider Demographics
NPI:1700851607
Name:KATIRA, RESHMA C (MD)
Entity Type:Individual
Prefix:DR
First Name:RESHMA
Middle Name:C
Last Name:KATIRA
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Gender:F
Credentials:MD
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Mailing Address - Street 1:7501 GREENWAY CENTER DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3514
Mailing Address - Country:US
Mailing Address - Phone:301-474-4679
Mailing Address - Fax:301-474-7182
Practice Address - Street 1:6354 WALKER LN
Practice Address - Street 2:SUITE 100
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22310-3229
Practice Address - Country:US
Practice Address - Phone:703-313-8822
Practice Address - Fax:703-313-9422
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2017-07-07
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Provider Licenses
StateLicense IDTaxonomies
VA0101236236207W00000X, 207WX0107X
MDD0061437207W00000X, 207WX0107X
DCMD034811207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC035994300Medicaid
MD404758301Medicaid
MD404758300Medicaid
MD404758301Medicaid
DC035994300Medicaid