Individual
MAMUKA MACHAIDZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5200 EASTERN AVE, BALTIMORE, MD 21224-2734
(410) 550-7330
(410) 550-1169
Mailing address
9910 FRANKLIN SQUARE DR STE 2110, BALTIMORE, MD 21236-4902
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
D88356
MD
Other
Enumeration date
06/17/2014
Last updated
11/08/2019
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