Individual
LIKA NESUASHVILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 E UNIVERSITY PKWY DEPT OF MEDICINE, BALTIMORE, MD 21218-2829
(410) 554-2284
Mailing address
4401 ROLAND AVE UNIT 412, BALTIMORE, MD 21210-2792
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0093110
MD
Other
Enumeration date
03/27/2018
Last updated
01/11/2022
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