Vladimir Kakitelashvili M.D.

NPI 1700882297 - Urology - 208800000X

NPI Details
NPI 1700882297
Gender Male
Enumeration Date 06/21/2005
Last Updated 11/28/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
101 CENTENNIAL ST
SUITE E
LA PLATA MD, 20646-5975, US
Phone (301) 392-0525
Fax (301) 392-0458
Business Location
32 BROADWAY MALL
C/O UNIVERSAL HEALTH NETWORK
HORNELL NY, 14843-1920, US
Phone (888) 846-5527
Fax (607) 324-2369
Toxanomy
Taxonomy Code 208800000X
License State Maryland
License Number D0057225
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According to our database, Dr. Vladimir Kakitelashvili M.D. NPI is 1700882297, taxonomy code is 208800000X and license number is D0057225, license state is located at Maryland. Vladimir Kakitelashvili M.D. physically located at 101 Centennial St, La Plata MD, 20646-5975. NPI Number Vladimir Kakitelashvili M.D. has the Individual type.

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1700882297 NPI number is provided on an as is basis without warranty of any kind. 1700882297 is maintained by the National Plan & Provider Enumeration System. The contents of Vladimir Kakitelashvili M.D. are for informational purposes only.