Individual
NANULI GVAZAVA
Active
Individual
NANULI GVAZAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2020015727
MO
207R00000X
Internal Medicine Physician
Primary
9411263
KS
207RX0202X
Medical Oncology Physician
Primary
04-53088
KS
207RX0202X
Medical Oncology Physician
2020015727
MO
Other
Enumeration date
07/08/2020
Last updated
08/20/2026
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