Mrelashvili, Anna

Mrelashvili, Anna is an individual health care provider with primary practice located at 39650 Liberty St , Fremont CA 94538-2223. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Mrelashvili, Anna can be contacted via phone (408) 524-5700.

Contact Information

Primary practice address
39650 Liberty St Fremont CA 94538-2223
Phone: (408) 524-5700
Fax: (408) 523-3625
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 38616 South Carolina
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X A161653 California

Profile Details

NPI number 1093028714
LBN Legal business name Mrelashvili, Anna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2010
Last updated Apr 14th, 2021 - 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 1093028714 NPPES
South Carolina MEDICAID 386166

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