Provider Demographics
NPI:1497372437
Name:DZHANASHVILI, ALEKSANDR (MD, PHD, RVS, NVS)
Entity Type:Individual
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First Name:ALEKSANDR
Middle Name:
Last Name:DZHANASHVILI
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Gender:M
Credentials:MD, PHD, RVS, NVS
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Other - Last Name:
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Mailing Address - Street 1:2075 GREENBRIAR RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17404-9132
Mailing Address - Country:US
Mailing Address - Phone:410-428-4155
Mailing Address - Fax:717-441-3837
Practice Address - Street 1:2075 GREENBRIAR RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17404-9132
Practice Address - Country:US
Practice Address - Phone:410-428-4155
Practice Address - Fax:717-441-3837
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-25
Last Update Date:2020-06-25
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonography