Provider Demographics
NPI:1376726422
Name:SHOTASHVILI, NATALLIA (MD)
Entity Type:Individual
Prefix:DR
First Name:NATALLIA
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Last Name:SHOTASHVILI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:15825 SHADY GROVE RD
Mailing Address - Street 2:SUITE 140
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-4008
Mailing Address - Country:US
Mailing Address - Phone:301-869-9776
Mailing Address - Fax:301-216-2592
Practice Address - Street 1:2639 CONNECTICUT AVE NW
Practice Address - Street 2:C-100
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-1537
Practice Address - Country:US
Practice Address - Phone:202-588-1878
Practice Address - Fax:301-216-2592
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-12
Last Update Date:2014-06-23
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Provider Licenses
StateLicense IDTaxonomies
DC000000207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine