# ROZA MEDICAL CENTER, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Roza Medical Center, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023795945
- **Authorized official:** BULAT KHAMITOV (CEO)
- **Authorized official phone:** (240) 848-7692

## Contact information

- **Practice address:** 941 RUSSELL AVE STE B, GAITHERSBURG, MD 20879-6206
- **Practice address phone:** (240) 848-7692
- **Mailing address:** 941 RUSSELL AVE STE B, GAITHERSBURG, MD 20879-6206

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | — | — |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/03/2023
- **Last updated:** 03/22/2025