Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EKA MAISURADZE
Active Sole ProprietorEKA MAISURADZE is a Genetic Counselor healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1558982124 is currently active in the NPPES registry. Verify at CMS.
Genetic Counselor · PHILADELPHIA, PA
Registration Details
- NPI Number
- 1558982124
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 5, 2020 (6.2971519764476 yrs)
- Last Updated
- May 5, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
8336 BUSTLETON AVEPHILADELPHIA, PA, 191521909Browse PA providers · Browse ZIP 19152
- Phone
- 2157429811
- Primary Specialty
-
Genetic Counselor
174200000X
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.