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Individual

DR. MAKA SIAMASHVILI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, MBA, PA-C

Contact information

Practice address
510 UPPER CHESAPEAKE DR, BEL AIR, MD 21014-4328
(443) 643-3200
Mailing address
3409 TEWKESBURY RD, ABINGDON, MD 21009-1095
(615) 715-9494

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
10/23/2024
Last updated
05/12/2025
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