Individual provider · NPI-1

Dr. Archil Abashidze, MD

Psychiatry & Neurology, Psychiatry · Glen Burnie, MD

NPI number1891717757

StatusActive

Last updated in NPPESOct 31, 2011

Details

NPI: 1891717757
Entity type: Individual (NPI-1)
Name: Dr. Archil Abashidze
Credential: MD
Sex: Male
Sole proprietor: Yes
Enumeration date: Jul 23, 2006
Last updated: Oct 31, 2011

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2084P0800X	Psychiatry & Neurology, Psychiatry	C1-0007963	DE	Yes

Practice location

7207 Baltimore Annapolis Blvd
Glen Burnie, MD 21061-2684

Phone 410-768-0123 · Fax 410-768-1716

Mailing address

10c Queen Elizabeth Ct
Chester, MD 21619-2544

Phone 443-312-2099 · Fax 410-768-1716

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