Egriselashvili, Anna

Egriselashvili, Anna is an individual health care provider with primary practice located at 6770 Mayfield Rd 425, Mayfield Hts OH 44124-2299. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Egriselashvili, Anna can be contacted via phone (440) 442-2040.

Contact Information

Primary practice address
6770 Mayfield Rd 425 Mayfield Hts OH 44124-2299
Phone: (440) 442-2040
Fax: (440) 460-2807
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35093484 Ohio

Profile Details

NPI number 1003059197
LBN Legal business name Egriselashvili, Anna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2009
Last updated Jan 5th, 2015 - about 9 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 1003059197 NPPES
Ohio MEDICAID 2998583
Ohio Other 4276311

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