Khetisuda Suvarnasuddhi (NPI# 1083059455, PAC ID# 7618270265) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
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 |
Claim Control Number (CCN) | Legal Business Name |
---|---|
210001 | MERITUS MEDICAL CENTER |
390151 | CHAMBERSBURG HOSPITAL |
510008 | BERKELEY MEDICAL CENTER |
390138 | WAYNESBORO HOSPITAL |
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 Legal Name | OTTO ROZA MD PA |
Physicians | 6 |
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 |
Street Address |
12931 OAK HILL AVE |
City | HAGERSTOWN |
State | MD |
Zip | 21742-2914 |
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 |
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 |
City | HAGERSTOWN |
Zip Code | 21742 |
Specialty | NEPHROLOGY |
City + Specialty | HAGERSTOWN + NEPHROLOGY |
Please comment or provide details below to improve the information on Khetisuda Suvarnasuddhi.
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.