| Organization Name: | HEALTHRISE LOTUS CARE,LLC |
| NPI Number: | 1104867217 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VIBHAKAR J MODY (OWNER) |
| Mailing Address: | 7307,baltimore Ave. 212 College Park |
| State: | MD US |
| Postal Code: | 20740 |
| Phone Number: | 3016991515 |
| Fax Number: | 3017793685 |
| NPI Enumeration Date: | 06/09/2006 |
| NPI Last Update Date: | 06/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |