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Individual
DR. MALKHAZI MIKADZE
Active
Individual
DR. MALKHAZI MIKADZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA07954800
NJ
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
25MA07954800
NJ
Other
Enumeration date
06/09/2006
Last updated
01/02/2025
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