Khetisuda Suvarnasuddhi
OTTO ROZA MD PA


Address: 12931 Oak Hill Ave, Hagerstown, MD 21742-2914
Phone: 3017979600

Khetisuda Suvarnasuddhi (NPI# 1083059455, PAC ID# 7618270265) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.

Physician Overview

Nation Provider ID (NPI) 1083059455
PAC ID by PECOS 7618270265
Professional Enrollment ID I20180828001976
Full Name Khetisuda Suvarnasuddhi
Organization Legal Name OTTO ROZA MD PA
Address 12931 Oak Hill Ave
Hagerstown
MD 21742-2914
Phone Number 3017979600
Gender F
Graduation Year 2012
Primary Specialty NEPHROLOGY
Secondary Specialties INTERNAL MEDICINE
Group Practice PAC ID 4880596675
Number of Group Practice Members 5
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
210001 MERITUS MEDICAL CENTER
390151 CHAMBERSBURG HOSPITAL
510008 BERKELEY MEDICAL CENTER
390138 WAYNESBORO HOSPITAL

Other Locations

Address Phone Organization
12931 Oak Hill Ave, Hagerstown, MD 21742-2914 3017979600 OTTO ROZA MD PA
103 Marcley Dr, Martinsburg, WV 25401-2977 3042630911 OTTO ROZA MD PA
27 Vista Dr, Waynesboro, PA 17268-2541 7177654117 OTTO ROZA MD PA

Organization Information

Organization Legal Name OTTO ROZA MD PA
Physicians 6

Physicians with the same organization

Name Specialty Organization Address
Paul G Welch Nephrology Otto Roza Md Pa 103 Marcley Rd, Martinsburg, WV 25401
Anwar Iqbal Neurology Otto Roza Md Pa 12931 Oak Hill Ave, Hagerstown, MD 21742-2914
Eli Roza Nephrology Otto Roza Md Pa 12931 Oak Hill Ave, Hagerstown, MD 21742-2914
Jeremy R Yospin Nephrology Otto Roza Md Pa 12931 Oak Hill Ave, Hagerstown, MD 21742-2914
Pamela Jane Gavin Nurse Practitioner Otto Roza Md Pa 103 Marcley Rd, Martinsburg, WV 25401

Office Location

Street Address 12931 OAK HILL AVE
City HAGERSTOWN
State MD
Zip 21742-2914

Physicians in the same location

Name Specialty Organization Address
Anwar Iqbal Neurology Otto Roza Md Pa 12931 Oak Hill Ave, Hagerstown, MD 21742-2914
Eli Roza Nephrology Otto Roza Md Pa 12931 Oak Hill Ave, Hagerstown, MD 21742-2914
Jeremy R Yospin Nephrology Otto Roza Md Pa 12931 Oak Hill Ave, Hagerstown, MD 21742-2914

Physicians in the same zip code

Name Specialty Organization Address
Diana M Gaviria Family Medicine Washington County Health Department 1302 Pennsylvania, Hagerstown, MD 21742
Gerald J Apollon Family Medicine U N I Medical Care Inc 187 N Pointe Dr, Suite 113, Hagerstown, MD 21742
Erwin Aldana Critical Care (intensivists) U N I Medical Care Inc 187 N Pointe Dr, Suite 113, Hagerstown, MD 21742
Tammi P Fuller Certified Nurse Midwife (cnm) Washington County Health Department 1302 Pennsylvania, Hagerstown, MD 21742
Melissa S Crawford-halterman Clinical Social Worker Washington County Health Department 1302 Pennsylvania, Hagerstown, MD 21742
Abebe Haregewoin Radiation Oncology Washington County Health Department 1302 Pennsylvania, Hagerstown, MD 21742
Victoria E Sterling Clinical Social Worker Washington County Health Department 1302 Pennsylvania, Hagerstown, MD 21742
Tammy S Thornton Registered Dietitian Or Nutrition Professional Washington County Health Department 1302 Pennsylvania, Hagerstown, MD 21742
Sharon L Nayfack Clinical Social Worker Washington County Health Department 1302 Pennsylvania, Hagerstown, MD 21742
Kathryn M Koons Nurse Practitioner Brook Lane Health Services Inc 13215 Brook Lane Dr, Hagerstown, MD 21742-1435
Find all physicians in zip 21742

Competitor

Search similar physicians

City HAGERSTOWN
Zip Code 21742
Specialty NEPHROLOGY
City + Specialty HAGERSTOWN + NEPHROLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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