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Individual
DR. NINO OQROSHIDZE
Active
Individual
DR. NINO OQROSHIDZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD452940
PA
282N00000X
General Acute Care Hospital
HS000163L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HS000163L
LICENSE
PA
Enumeration date
07/04/2011
Last updated
03/17/2018
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