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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MAZELL TETRUASHVILY, MD, PHD

Active Sole Proprietor

MAZELL TETRUASHVILY, MD, PHD is a Preventive Medicine healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1295225019 is currently active in the NPPES registry. Verify at CMS.

Preventive Medicine · PHILADELPHIA, PA

Registration Details

NPI Number
1295225019
Provider Type
Individual
Gender
Female
NPI Issued
May 17, 2018 (8.2250606396333 yrs)
Last Updated
Jan 22, 2025
License
MD480490 (PA)
Sole Proprietor
Yes

Practice Information

Address
3900 WOODLAND AVE
PHILADELPHIA, PA, 191044551
Browse PA providers · Browse ZIP 19104
Phone
2158235888
Primary Specialty
Preventive Medicine
2083P0500X

Other Preventive Medicine Providers in PHILADELPHIA, PA

Name Credential NPI
DR. POUNE SABERI MD, MPH 1447231964
KONSTANTIN BERESTNEV MD 1407912348
RAMON J TERRAZAS MD 1851457709
DR. ANN E. KUHNEN MD, MPH 1790983633
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.