Provider Demographics
NPI:1811142862
Name:HILL, SUVIMOL C (MD)
Entity type:Individual
Prefix:DR
First Name:SUVIMOL
Middle Name:C
Last Name:HILL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9708 SORREL AVE
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-4732
Mailing Address - Country:US
Mailing Address - Phone:301-983-1587
Mailing Address - Fax:
Practice Address - Street 1:10 CENTER DR
Practice Address - Street 2:BUILDING 10, ROOM # 1C345X
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-1182
Practice Address - Country:US
Practice Address - Phone:301-402-5723
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-18
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00177932085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology