Individual
NANULI GVAZAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
UNIVERSITY OF KANSAS MEDICAL CENTER 3901 RAINBOW BLVD, KANSAS CITY, KS 66160-0001
(913) 588-0348
Mailing address
UNIVERSITY OF KANSAS MEDICAL CENTER 3901 RAINBOW BLVD, KANSAS CITY, KS 66160-0001
(913) 588-0348
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2020015727
MO
207R00000X
Internal Medicine Physician
Primary
9411263
KS
Other
Enumeration date
07/08/2020
Last updated
06/30/2023
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