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Organization
ROZA MEDICAL CENTER, LLC
Active
Organization
ROZA MEDICAL CENTER, LLC
Active
Other names
Roza Medical Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BULAT KHAMITOV (CEO)
(240) 848-7692
Entity
Organization
Contact information
Practice address
941 RUSSELL AVE STE B, GAITHERSBURG, MD 20879-6206
(240) 848-7692
Mailing address
941 RUSSELL AVE STE B, GAITHERSBURG, MD 20879-6206
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/03/2023
Last updated
03/22/2025
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