NPI 1265462139

Suresh K Khetan, MD

Practitioner Family Medicine Physician Takoma Park, MD

Practice location

Address: 7610 Carroll Ave Suite 260, Takoma Park, MD 20912
Phone: (301) 891-9770
Fax: (301) 891-1620
Mailing address: PO Box 7398, Langley Park, MD 20787-7398

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence D55403 (MD)

Other Family Medicine providers in Maryland →

Registry record

NPI: 1265462139
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Jul 2006
Record last updated: 18 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.