Individual
MAIA TAVADZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9000 FRANKLIN SQUARE DR, BALTIMORE, MD 21237-3901
(443) 777-8186
Mailing address
9000 FRANKLIN SQUARE DR, BALTIMORE, MD 21237-3901
(443) 777-8183
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
D78301
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/24/2011
Last updated
08/09/2016
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