Individual
MR. SURESH K KHETAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7610 CARROLL AVE, SUITE 260, TAKOMA PARK, MD 20912
(301) 891-9770
(301) 891-1620
Mailing address
PO BOX 7398, LANGLEY PARK, MD 20787-7398
(301) 963-3456
(301) 963-0424
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D55403
MD
Other
Enumeration date
07/04/2006
Last updated
12/18/2007
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