Manana Kvezereli, MD, PhD
Pathology, Anatomic Pathology & Clinical Pathology in Boston, MA. Individual provider (NPI-1).
Details
- NPI
- 1124378971
- Entity type
- Individual (NPI-1)
- Name
- Manana Kvezereli
- Credential
- MD, PhD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 19, 2012
- Last updated
- Sep 19, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | 252734 | MA | Yes |
Practice location
800 Washington StBox 802
Boston, MA 02111-1552
Phone 617-636-5829 · Fax 617-636-8302
Mailing address
800 Washington StreetBox 802
Boston, MA 02111-1533
Phone 617-636-5829 · Fax 617-636-8302
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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