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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