Provider Demographics
NPI:1588812713
Name:NADAREISHVILI, ZURAB (MD)
Entity Type:Individual
Prefix:DR
First Name:ZURAB
Middle Name:
Last Name:NADAREISHVILI
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:2150 PENNSYLVANIA AVE NW
Mailing Address - Street 2:SUITE 7-404, MFA, DEPARTMENT OF NEUROLOGY,
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-3201
Mailing Address - Country:US
Mailing Address - Phone:202-741-2700
Mailing Address - Fax:202-741-2721
Practice Address - Street 1:2150 PENNSYLVANIA AVE NW
Practice Address - Street 2:SUITE 7-404, MFA, DEPARTMENT OF NEUROLOGY,
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-3201
Practice Address - Country:US
Practice Address - Phone:202-741-2700
Practice Address - Fax:202-741-2721
Is Sole Proprietor?:No
Enumeration Date:2008-08-29
Last Update Date:2010-07-13
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Provider Licenses
StateLicense IDTaxonomies
DCMD0380952084V0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084V0102XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyVascular Neurology