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Individual

TEIMURAZ URUSHADZE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RDCS.,RVT.,ARDMS(ABD

Contact information

Practice address
6210 WILSHIRE BLVD, STE 205, LOS ANGELES, CA 90048-5105
(310) 770-9528
Mailing address
6210 WILSHIRE BLVD, STE 205, LOS ANGELES, CA 90048-5105
(310) 770-9528

Taxonomy

Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
106048
MD
2471S1302X
Sonography Radiologic Technologist
Primary
106048
MD
2471V0105X
Vascular Sonography Radiologic Technologist
106048
MD

Other

Enumeration date
12/24/2007
Last updated
12/24/2007
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