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Khetisuda Suvarnasuddhi, MD
Nephrology Physician in Hagerstown, Maryland
NPI 1083059455

Khetisuda Suvarnasuddhi is a Nephrology Physician based in Providence, MD and is specialized in Nephrology. Khetisuda Suvarnasuddhi practices in Hagerstown, MD and has the professional credentials of MD. The NPI Number for Khetisuda Suvarnasuddhi is 1083059455 and holds a License No. LP03684 (Maryland).

The current practice location address for Khetisuda Suvarnasuddhi is 12931 Oak Hill Ave, Hagerstown, MD and can be reached out via phone at 301-797-9600 and via fax at 301-797-3854.

Location: 12931 Oak Hill Ave, Hagerstown, MD, 02903-7752
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083059455
Provider Name
Khetisuda Suvarnasuddhi
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
12931 Oak Hill Ave, Hagerstown, MD, 02903-7752
Phone Number
301-797-9600
Fax Number
301-797-3854
Provider Enumeration Date
04/30/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
520968642 05 MD
institution
Provider Business Practice Location Address Details
Address
12931 Oak Hill Ave
City
Hagerstown
State
Maryland
Zip
21742
Phone Number
301-797-9600
Fax Number
301-797-3854
person
Provider Business Mailing Address Details
Address
12931 Oak Hill Ave
City
Hagerstown
State
Maryland
Zip
21742
Phone Number
301-797-9600
Fax Number
301-797-3854
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
207RN0300X
License No.
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Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
LP03684 (Rhode Island)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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