Individual
KHATUNA GURGENASHVILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
D0070249
MD
2084N0400X
Neurology Physician
Primary
MD439112
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103326162
—
PA
01
—
2544895
HIGHMARK BCBS MARYLAND POS
MD
01
—
2544895
BCBS FREEDOM BLUE PPO
PA
05
—
445117100
—
MD
01
—
972589
BCBS LOCAL CAREFIRST KG85
MD
01
—
P00945562
MEDICARE RR MD
MD
01
—
P00945563
MEDICARE RR PA
PA
01
—
W2660029
BCBS REGIONAL CAREFIRST W266
MD
Enumeration date
07/03/2008
Last updated
08/04/2026
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