Individual
PATMAN MZHAVANADZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4000 COLISEUM DR, STE 445, HAMPTON, VA 23666-5906
(757) 827-2127
(757) 827-2255
Mailing address
4000 COLISEUM DR, STE 445, HAMPTON, VA 23666-5906
(757) 827-2127
(757) 827-2255
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101243441
VA
208M00000X
Hospitalist Physician
0101243441
VA
Other
Enumeration date
12/14/2007
Last updated
09/18/2020
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