Individual provider · Type 1 NPI

Khetisuda Suvarnasuddhi, MD

Nephrology Physician · Hagerstown, MD

NPI number 1083059455 Active

Practice location

12931 Oak Hill Ave
Hagerstown, MD 21742

Fax (301) 797-3854

Mailing address

593 Eddy Street, Apc 942
Providence, RI 02903-7752

Specialties and licenses

TaxonomyCodeLicense
Nephrology Physician 207RN0300XLP03684 (RI)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Nephrology Physician Primary 207RN0300XD0085666 (MD)

Nephrology Physician: 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.

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About NPI 1083059455

Khetisuda Suvarnasuddhi, MD's National Provider Identifier is 1083059455, issued on Apr 30, 2013. The primary taxonomy on file is Nephrology Physician (207RN0300X), and the practice location is in Hagerstown, MD. The record was last updated on Aug 10, 2018.