Gakhokidze, Maia

Gakhokidze, Maia is an individual health care provider with primary practice located at 600 Gresham Dr Fl 5 , Norfolk VA 23507-1904. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Gakhokidze, Maia can be contacted via phone (757) 388-3198.

Contact Information

Primary practice address
600 Gresham Dr Fl 5 Norfolk VA 23507-1904
Fax: (757) 388-4242
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2009036027 Missouri
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 43101 Washington
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 0101253668 Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101253668 Virginia

Profile Details

NPI number 1669458550
LBN Legal business name Gakhokidze, Maia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Jan 15th, 2020 - about 5 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 1669458550 NPPES
Missouri MEDICAID 1669458550
Missouri MEDICAID 8383457

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