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Organization

DELAWARE PSYCHIATRY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NANA BERKASHVILLI MD (OWNER)
(302) 650-6739
Entity
Organization

Contact information

Practice address
5700 KIRKWOOD HWY, SUITE 107, WILMINGTON, DE 19808-4857
(302) 650-6739
(302) 633-5844
Mailing address
5700 KIRKWOOD HWY, SUITE 107, WILMINGTON, DE 19808-4857
(302) 650-6739
(302) 633-5844

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C1-0009293
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4587768718
PECOS
DE
Enumeration date
10/10/2016
Last updated
10/10/2016
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