Individual
LEVANI ODIKADZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 E HIGH ST, POTTSTOWN, PA 19464-5008
(610) 327-7000
Mailing address
PO BOX 13579, READING, PA 19612-3579
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD471479
PA
Other
Enumeration date
03/21/2017
Last updated
04/21/2021
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