KHETISUDA SUVARNASUDDHI

HAGERSTOWN, MD
NPI1083059455
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RN0300X Internal Medicine Nephrology
(Licence: MD  D0085666)
Additional Taxonomies207RN0300X Internal Medicine Nephrology
(Licence: RI  LP03684)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2013-04-30
Last Update Date2018-08-10
Business Address
KHETISUDA SUVARNASUDDHI M.D.
12931 OAK HILL AVE
HAGERSTOWN, MD 21742
Phone number: 301-797-9600
Mailing Address
KHETISUDA SUVARNASUDDHI M.D.
593 EDDY STREET, APC 942
PROVIDENCE, RI 02903-7752
Phone number: 401-444-5445