Suvarnasuddhi, Khetisuda
Suvarnasuddhi, Khetisuda is an individual health care provider with primary practice located at 12931 Oak Hill Ave , Hagerstown MD 21742. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Suvarnasuddhi, Khetisuda can be contacted via phone (301) 797-9600.Contact Information
Primary practice address
12931 Oak Hill Ave
Hagerstown MD 21742
Phone: (301) 797-9600
Fax: (301) 797-3854
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | LP03684 | Rhode Island |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | D0085666 | Maryland |
Profile Details
| NPI number | 1083059455 |
|---|---|
| LBN Legal business name | Suvarnasuddhi, Khetisuda |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 30th, 2013 |
| Last updated | Aug 10th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083059455 | NPPES |
| Maryland | MEDICAID | 520968642 |
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