ANZOR MODZGVRESCHVILI RD
NPI 1245866862
Dietitian, Registered - Nutrition, Gerontological in Detroit, MI
About Anzor Modzgvreschvili Rd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANZOR MODZGVRESCHVILI RD (NPI 1245866862) is an individual nutrition, gerontological provider in Detroit, Michigan, licensed in Maryland (C05672) and active in the NPI registry since March 2020. He maintains a secondary practice location in Bethesda.
NPPES Registry Identity
Specialties & Licenses
An individual who is a Specialist in Gerontological Nutrition and provides nutrition care to promote quality of life and optimal health for older adults across the continuum of care, including: acute care, post-acute care, primary care, long-term care, assisted living, home care, palliative care, community-based nutrition, food service, correctional facilities, and government programs. RDN who works indirectly with gerontological nutrition through roles in management, industry, education, and research.
Secondary Practice Location 1
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245866862, enumerated as an "individual" on March 15, 2020.
The provider is located at 15750 JOY RD DETROIT, MI 48228 and the phone number is (313) 273-6850.
Dietitian, Registered with taxonomy code 133VN1101X and a focus in Nutrition, Gerontological.
