Mariam Imnadze M.D.

NPI 1659533222 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1659533222
Gender Female
Enumeration Date 06/25/2008
Last Updated 12/15/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
4315 DIPLOMACY DR
DEPT OF UROLOGY
ANCHORAGE AK, 99508-5926, US
Phone (855) 482-4382
Fax
Business Location
4315 DIPLOMACY DRIVE
DEPT OF UROLOGY
ANCHORAGE AK, 99508, US
Phone (907) 729-4443
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Mariam Imnadze M.D. NPI is 1659533222, taxonomy code is 390200000X Mariam Imnadze M.D. physically located at 4315 Diplomacy Dr, Anchorage AK, 99508-5926. NPI Number Mariam Imnadze M.D. has the Individual type.

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1659533222 NPI number is provided on an as is basis without warranty of any kind. 1659533222 is maintained by the National Plan & Provider Enumeration System. The contents of Mariam Imnadze M.D. are for informational purposes only.