Dzhanashvili, Ramaz

Dzhanashvili, Ramaz is an sole proprietor health care provider with primary practice located at 17777 Ventura Blvd Ste 250 , Encino CA 91316-3717. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Dzhanashvili, Ramaz can be contacted via phone (818) 654-8311.

Contact Information

Primary practice address
17777 Ventura Blvd Ste 250 Encino CA 91316-3717
Fax: (818) 654-8382
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X A45389 California

Profile Details

NPI number 1215950647
LBN Legal business name Dzhanashvili, Ramaz
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated Aug 9th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215950647 NPPES
California MEDICAID 00A453890

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