Individual
DR. MAIA GAKHOKIDZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
600 GRESHAM DR FL 5, NORFOLK, VA 23507-1904
(757) 388-3198
(757) 388-4242
Mailing address
600 GRESHAM DR FL 5, NORFOLK, VA 23507-1904
(757) 388-3198
(757) 388-4242
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101253668
VA
207R00000X
Internal Medicine Physician
2009036027
MO
207R00000X
Internal Medicine Physician
43101
WA
208M00000X
Hospitalist Physician
0101253668
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669458550
—
MO
05
—
8383457
—
WA
Enumeration date
12/21/2005
Last updated
01/15/2020
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