| 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 |