Dr. Ketevan Gendzekhadze, PhD
Pathology, Clinical Laboratory Director, Non-physician in Duarte, CA. Individual provider (NPI-1).
NPI number1265700660
StatusActive
Last updated in NPPESDec 13, 2011
Details
- NPI
- 1265700660
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ketevan Gendzekhadze
- Credential
- PhD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 13, 2011
- Last updated
- Dec 13, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247ZC0005X | Pathology, Clinical Laboratory Director, Non-physician | DRK38 | CA | Yes |
Practice location
1500 Duarte RdDuarte, CA 91010-3012
Phone 626-256-8621
Mailing address
1817 2nd St Apt 26Duarte, CA 91010-1822
Phone 626-251-7030
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