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Individual

DR. TEONA MAGHLAKELIDZE

Active
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Individual

DR. TEONA MAGHLAKELIDZE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301083483
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01006116
HEALTHPLUS OF MICHIGAN
01
1026132
MCLAREN HEALTH PLAN
01
1026133
MCLAREN HEALTH PLAN
01
1026134
MCLAREN HEALTH PLAN
01
1026135
MCLAREN HEALTH PLAN
01
1107312852
BLUE CROSS INDIVIDUAL
MI
01
161377
GREAT LAKES HEALTH PLAN
01
381908328
AETNA
01
381908328 076
COMMUNITY CHOICE OF MI
01
381908328 383
COMMUNITY CHOICE OF MI
01
381908328 384
COMMUNITY CHOICE OF MI
01
381908328 385
COMMUNITY CHOICE OF MI
01
381908328 386
COMMUNITY CHOICE OF MI
01
5175823
MEDICAID TYPE 77
MI
05
5175850
MI
01
700G361110
BLUE CROSS GROUP
MI
01
700G361110
BLUE CARE NETWORK
Enumeration date
05/04/2007
Last updated
07/21/2022
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