Individual
DAVIT MRELASHVILI
Active
Individual
DAVIT MRELASHVILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
30863
SC
2084N0400X
Neurology Physician
54534
CT
2084N0400X
Neurology Physician
S1665
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308633
—
SC
01
—
AA30189482
MEDICARE-- PTAN
SC
01
—
GP5417
MEDICAID GROUP
SC
Enumeration date
01/04/2007
Last updated
05/28/2026
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