Dr Eugene Suwandhi, MD | |
5 Garrett Ave, La Plata, MD 20646-5960 | |
(301) 609-4539 | |
Not Available |
Full Name | Dr Eugene Suwandhi |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 5 Garrett Ave, La Plata, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184824856 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME98752 (Florida) | Secondary |
208000000X | Pediatrics | D74404 (Maryland) | Primary |
Entity Name | Mdics At Calvert Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033404207 PECOS PAC ID: 6406017425 Enrollment ID: O20120418000151 |
Entity Name | Mdics At Civista Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225323496 PECOS PAC ID: 8325200793 Enrollment ID: O20120501000281 |
Mailing Address | Practice Location Address |
---|---|
Dr Eugene Suwandhi, MD 5 Garrett Ave, La Plata, MD 20646-5960 Ph: (301) 609-4539 | Dr Eugene Suwandhi, MD 5 Garrett Ave, La Plata, MD 20646-5960 Ph: (301) 609-4539 |
Lisa M Wiltrout, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5 Garrett Ave, Civista Medical Center, La Plata, MD 20646 Phone: 301-609-4000 | |
Daniel Tummillo, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 5 Garrett Ave, La Plata, MD 20646 Phone: 301-609-4000 | |
Dr. James Joseph Vitek, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 701 East Charles Street, La Plata, MD 20646 Phone: 301-609-4000 Fax: 301-609-4311 | |
Jennifer Blansett, CRNP Pediatrics Medicare: Medicare Enrolled Practice Location: 103 Centennial St Ste C, La Plata, MD 20646 Phone: 301-934-9111 Fax: 301-934-9111 |