Individual
GIORGI BERULAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
343 ELM ST STE 206, RENO, NV 89503-4538
(775) 746-3400
(775) 746-3411
Mailing address
1355 RIVER BEND DR, DALLAS, TX 75247-4915
(336) 387-2566
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
17490
NV
207ZH0000X
Hematology (Pathology) Physician
17490
NV
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
17490
NV
Other
Enumeration date
01/04/2012
Last updated
04/25/2023
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