| Roza Medical Center, Llc | |
|
941 Russell Ave Ste B Gaithersburg MD 20879-6206 | |
| (240) 848-7692 | |
| Not Available |
| Full Name | Roza Medical Center, Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 941 Russell Ave Ste B, Gaithersburg, Maryland |
| Authorized Official Name and Position | Bulat Khamitov (CEO) |
| Authorized Official Contact | 2408487692 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roza Medical Center, Llc 941 Russell Ave Ste B Gaithersburg MD 20879-6206 Ph: () - | Roza Medical Center, Llc 941 Russell Ave Ste B Gaithersburg MD 20879-6206 Ph: (240) 848-7692 |
| NPI Number | 1023795945 |
|---|---|
| Provider Enumeration Date | 07/03/2023 |
| Last Update Date | 03/22/2025 |
| Medicare PECOS PAC ID | 9537686928 |
|---|---|
| Medicare Enrollment ID | O20250508003018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023795945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
| Provider Name | Roza Liss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235362781 PECOS PAC ID: 9335485523 Enrollment ID: I20190109000553 |
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