Individual
MARIAMI GABADADZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 W 22ND ST, SIOUX FALLS, SD 57105-1554
(605) 312-8489
Mailing address
5501 E 18TH ST APT 344, SIOUX FALLS, SD 57110-2838
(605) 212-4043
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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