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Individual

SUJITHRA JAYARAJ-SUDARSAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
507 N FREDERICK AVE, GAITHERSBURG, MD 20877-2506
(301) 840-1200
(301) 840-9253
Mailing address
507 N FREDERICK AVE, GAITHERSBURG, MD 20877-2506
(301) 840-1200
(301) 840-9253

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D0066695
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4301083176
EDUCATIONAL LICENSE
MI
Enumeration date
01/30/2008
Last updated
11/17/2019
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