Maghlakelidze, Teona
Maghlakelidze, Teona is an individual health care provider with primary practice located at 4401 Campus Ridge Dr Ste 1100 , Midland MI 48640-6125. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Maghlakelidze, Teona can be contacted via phone (989) 837-9200.Contact Information
Primary practice address
4401 Campus Ridge Dr Ste 1100
Midland MI 48640-6125
Phone: (989) 837-9200
Fax: (989) 837-9205
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301083483 | Michigan |
Profile Details
| NPI number | 1508078023 |
|---|---|
| LBN Legal business name | Maghlakelidze, Teona |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2007 |
| Last updated | Jul 21st, 2022 - about 4 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 | 1508078023 | NPPES |
| Michigan | MEDICAID | 5175850 | |
| Michigan | Other | 381908328 076 | |
| Michigan | Other | 381908328 385 | |
| Michigan | Other | 1107312852 | |
| Michigan | Other | 381908328 383 | |
| Michigan | Other | 381908328 384 | |
| Michigan | Other | 5175823 | |
| Michigan | Other | 700G361110 | |
| Michigan | Other | 700G361110 | |
| Michigan | Other | 1026132 | |
| Michigan | Other | 1026133 | |
| Michigan | Other | 1107312852 | |
| Michigan | Other | 161377 | |
| Michigan | Other | 1026134 | |
| Michigan | Other | 700G361110 | |
| Michigan | Other | 01006116 | |
| Michigan | Other | 1026135 | |
| Michigan | Other | 381908328 | |
| Michigan | Other | 381908328 386 |
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