NINO KVANTALIANI

PHILADELPHIA, PA
NPI1093292427
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: PA  MD477262)
Additional Taxonomies207R00000X Internal Medicine
(Licence: PA  MT215375)
Enumeration Date2018-07-27
Last Update Date2023-05-05
Business Address
NINO KVANTALIANI MD
1815 JOHN F KENNEDY BLVD APT 720
PHILADELPHIA, PA 19103-1705
Phone number: 470-558-8888
Mailing Address
NINO KVANTALIANI MD
1815 JOHN F KENNEDY BLVD APT 720
PHILADELPHIA, PA 19103-1705
Phone number: 470-558-8888