Individual
ELISABED BATIASHVILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
736 CAMBRIDGE ST, BOSTON, MA 02135-2907
(617) 789-3000
Mailing address
736 CAMBRIDGE ST, BOSTON, MA 02135-2907
(617) 789-3000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3016116
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/25/2024
Last updated
07/08/2024
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