Kokichashvili, Maia
Kokichashvili, Maia is an individual health care provider with primary practice located at 600 Gresham Dr Fl 5 , Norfolk VA 23507-1904. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Kokichashvili, Maia can be contacted via phone (757) 388-3198.Contact Information
Primary practice address
600 Gresham Dr Fl 5
Norfolk VA 23507-1904
Phone: (757) 388-3198
Fax: (757) 388-4242
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | NE23395 | Nebraska |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 0101243380 | Virginia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101243380 | Virginia |
Profile Details
| NPI number | 1043278864 |
|---|---|
| LBN Legal business name | Kokichashvili, Maia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2006 |
| Last updated | Jan 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043278864 | NPPES |
| Nebraska | MEDICAID | NE23395 | |
| Nebraska | Other | P00234141 | |
| Nebraska | Other | 247598 | |
| Nebraska | Other | 30375 |
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