Individual
DR. ANNA EGRISELASHVILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6770 MAYFIELD RD, 425, MAYFIELD HTS, OH 44124-2299
(440) 442-2040
(440) 460-2807
Mailing address
6770 MAYFIELD RD, 425, MAYFIELD HTS, OH 44124-2299
(440) 442-2040
(440) 460-2807
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35093484
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2998583
—
OH
01
—
4276311
MEDICARE ID- TYPE UNSPECIFIED
OH
Enumeration date
04/20/2009
Last updated
01/05/2015
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