| Saritha Sudharsun, | |
|
6516 Rosalie Ln, Riverdale, MD 20737-1785 | |
| (240) 367-3759 | |
| Not Available |
| Full Name | Saritha Sudharsun |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 6516 Rosalie Ln, Riverdale, Maryland |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205308285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R175142 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| George Washington Univ Hospital | Washington, DC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medical Faculty Associates, Inc | 4082528898 | 596 |
| Entity Name | Medical Faculty Associates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417990581 PECOS PAC ID: 4082528898 Enrollment ID: O20031117000341 |
| Entity Name | Olney Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720019011 PECOS PAC ID: 5294717385 Enrollment ID: O20040602001479 |
| Mailing Address | Practice Location Address |
|---|---|
| Saritha Sudharsun, Po Box 157, Ashton, MD 20861-0157 Ph: (240) 367-3759 | Saritha Sudharsun, 6516 Rosalie Ln, Riverdale, MD 20737-1785 Ph: (240) 367-3759 |
Basil E Fomanka, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6200 Baltimore Ave, 300-r9, Riverdale, MD 20737 Phone: 443-520-8138 | |
Akunna Chisom Ikocha, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6801 Kenilworth Ave Ste 300, Riverdale, MD 20737 Phone: 240-838-6354 | |
Marian Kolb Jones, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5711 Sarvis Ave, Suite 200, Riverdale, MD 20737 Phone: 301-277-8100 Fax: 301-277-0668 | |
Binnur Genc, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6510 Kenilworth Ave Ste 2500, Riverdale, MD 20737 Phone: 410-997-1907 | |
Miss Imelda Tividad Russell, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6510 Kenilworth Ave Ste 2500, Riverdale, MD 20737 Phone: 410-997-1907 | |
Bosede M Adeleye, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6801 Kenilworth Ave Ste 300-s2, Riverdale, MD 20737 Phone: 301-512-9449 Fax: 301-798-6260 |