Individual
ANA ANDRONIKASHVILI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 DORCHESTER AVE, BOSTON, MA 02124-5615
(617) 296-4000
Mailing address
1943 DORCHESTER AVE UNIT 511, DORCHESTER, MA 02124-4964
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
281147
MA
208M00000X
Hospitalist Physician
Primary
317930
NY
Other
Enumeration date
07/02/2019
Last updated
11/04/2022
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