KETEVAN GVALIA

SCRANTON, PA
NPI1255774527
Other NameKETEVAN FRIEDKIN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IN  01079486A)
Additional Taxonomies208M00000X Hospitalist
(Licence: PA  TMD005308)
208M00000X Hospitalist
(Licence: IN  01079486A)
Enumeration Date2013-04-16
Last Update Date2021-10-05
Business Address
KETEVAN GVALIA M. D.
1800 MULBERRY ST
SCRANTON, PA 18510-2369
Phone number: 570-703-7351
Mailing Address
KETEVAN GVALIA M. D.
250 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4959
Phone number: