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MAZELL TETRUASHVILY MD, PHD
NPI 1295225019
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Philadelphia, PA

Active since May 17, 2018
3900 WOODLAND AVE, PHILADELPHIA, PA 19104(215) 823-5888 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mazell Tetruashvily Md, Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAZELL TETRUASHVILY MD, PHD (NPI 1295225019) is an individual preventive medicine/occupational environmental medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD480490) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1295225019
Entity TypeIndividualFemale
Primary Taxonomy2083P0500X
Provider Legal NameMAZELL TETRUASHVILYCredential: MD, PHD
Location Address3900 WOODLAND AVEPhiladelphia, PA 19104-4551
Mailing Address3400 Spruce StPhiladelphia, PA 19104-4238 · (215) 662-9664
Phone(215) 823-5888
Sole ProprietorYes
Enumeration DateMay 17, 2018
Last NPPES UpdateJanuary 22, 2025
NPPES CertifiedJanuary 22, 2025
✔ NPI 1295225019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0500X
License✔ Licensed in PA · MD480490
Definition
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
3900 WOODLAND AVE, Philadelphia, PA 19104
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Other Names 1

Other Name (5)Mazell Tetruashvily Winikor Md, Phd

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEREDITH A SPINDLER MD
Psychiatry & Neurology (Neurology)
3900 WOODLAND AVE, PADRECC, #127
PHILADELPHIA, PA 19104
Philadelphia County (215) 823-5800
DENIS MICHAEL CAREY LCSW
Social Worker (Clinical)
3900 WOODLAND AVE
PHILADELPHIA, PA 19104
Philadelphia County (267) 292-7700
RONALD ANDREW SPOTTS CAADC
Counselor (Addiction (Substance Use Disorder))
3900 WOODLAND AVE, ADDICTION RECOVERY UNIT 7TH FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 823-5800
CAROL BUHRMAN RD
Dietitian, Registered (Nutrition, Gerontological)
3900 WOODLAND AVE
PHILADELPHIA, PA 19104
Philadelphia County (215) 823-5800
MS. CARLA PATRICE CLEMENTS RN, CRNP
Nurse Practitioner (Acute Care)
3900 WOODLAND AVE
PHILADELPHIA, PA 19104
Philadelphia County (215) 823-5800
DR. FAUZIA HUSSAIN PHARM.D.
Pharmacist (Pharmacotherapy)
3900 WOODLAND AVE, PHARMACY SERVICE #119
PHILADELPHIA, PA 19104
Philadelphia County (215) 823-4153
MR. FREDRICK W CLAUSS MPT
Physical Therapist
3900 WOODLAND AVE
PHILADELPHIA, PA 19104
Philadelphia County (215) 823-5800
DR. LEAH C JONES M.D.
Internal Medicine
3900 WOODLAND AVE
PHILADELPHIA, PA 19104
Philadelphia County (215) 823-5967

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mazell Tetruashvily's NPI number?

The NPI number for Mazell Tetruashvily is 1295225019. It was assigned to this individual provider in the NPPES registry on May 17, 2018. The provider is also known as Mazell Tetruashvily Winikor MD, Phd.

Where is Mazell Tetruashvily located?

Mazell Tetruashvily practices at 3900 Woodland Ave, Philadelphia, PA 19104. The listed phone number is (215) 823-5888.

What is Mazell Tetruashvily's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine, with taxonomy code 2083P0500X.

When was this NPI record last updated?

The NPPES record for Mazell Tetruashvily was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.