Most Relevant Information
Provider Data
| NPI Number: | 1003061060 |
| Provider Name: | SUSRUTHA KOTWAL MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | D74006 |
Most Important Dates
| Enumeration Date: | 11/18/2008 |
| Last Updated: | 05/18/2023 |
Provider Practice Location
4940 EASTERN AVE
MFL BLDG, WEST TOWER, 6TH FLOOR
BALTIMORE
MD
212242735
Practice Location Phone/Fax
| Phone: | 4105505018 |
| Fax: |
Provider Mailing Location
6201 GREENLEIGH AVE
MIDDLE RIVER
MD
212202004
Provider Mailing Phone/Fax
| Phone: | 4109332704 |
| Fax: | 4109331390 |
Suggested EMR
Internist EMR