Amiridze, Nana S
Amiridze, Nana S is an individual health care provider with primary practice located at 1251 S Hickory St , Melbourne FL 32901-3221. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Neuroradiology is her primary health care specialty. Amiridze, Nana S can be contacted via phone (321) 434-3420.Contact Information
Primary practice address
1251 S Hickory St
Melbourne FL 32901-3221
Phone: (321) 434-3420
Fax: (321) 434-3423
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | D0060165 | Maryland |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | ME105768 | Florida |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | ME105768 | Florida |
Profile Details
| NPI number | 1447246509 |
|---|---|
| LBN Legal business name | Amiridze, Nana S |
| Credentials | MD, PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | Jan 2nd, 2013 - about 13 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 | 1447246509 | NPPES |
| Maryland | MEDICAID | 405376100 | |
| Maryland | Other | 60340002 | |
| Maryland | Other | 0063 | |
| Maryland | MEDICAID | 001680100 |
Popular Providers
-
Bank, William O
110 Irving St Nw , Washington DC 20010-2976 -
Burgos, Ricardo M
1 Jarrett White Rd Tripler Army Medical Center, Honolulu HI 96859-5001 -
Swayze, Donald A
1 Hospital Dr , Clarion PA 16214-8501 -
Sato, Yutaka
200 Hawkins Dr , Iowa City IA 52242-1009 -
Maley, Joan E
200 Hawkins Dr , Iowa City IA 52242-1009 -
Muskie, Julia J
1145 19Th St Nw Suite 205, Washington DC 20036-3701 -
Romero, Javier M
55 Fruit St Grb 246, Boston MA 02114-2621 -
Pohl, Andrew M.
100 N Academy Ave , Danville PA 17822-9800