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MRS. QETEVAN GVAZAVA M.D.
NPI 1538913850
Student in an Organized Health Care Education/Training Program in Annapolis, MD

Active since April 15, 2024PECOS Enrolled
2003 MEDICAL PARKWAY, SUITE 350, ANNAPOLIS, MD 21401(443) 951-4286(443) 949-7380 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Aug 5, 2024, Apr 15, 2024 (2 updates tracked since 2024).

About Mrs. Qetevan Gvazava M.d. NPPES

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

MRS. QETEVAN GVAZAVA M.D. (NPI 1538913850) is an individual student in an organized health care education/training program in Annapolis, Maryland and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538913850
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMRS. QETEVAN GVAZAVACredential: M.D.
Location Address2003 MEDICAL PARKWAY, SUITE 350Annapolis, MD 21401
Mailing Address2003 Medical Parkway, Suite 350Annapolis, MD 21401 · (443) 951-4286 · Fax (443) 949-7380
Phone(443) 951-4286
Fax(443) 949-7380
Sole ProprietorNo
Enumeration DateApril 15, 2024
Last NPPES UpdateAugust 5, 20242 updates tracked since enumeration
✔ NPI 1538913850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2003 MEDICAL PARKWAY, Annapolis, MD 21401
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Qetevan Gvazava M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

DR. LISA A DIMARZIO MD
Internal Medicine
2003 MEDICAL PARKWAY, SUITE 100
ANNAPOLIS, MD 21401
Anne Arundel County (410) 573-1110
DR. RAVIN JAIN GARG M.D.
Internal Medicine (Hematology & Oncology)
2003 MEDICAL PARKWAY, SUITE 210
ANNAPOLIS, MD 21401
Anne Arundel County (410) 571-5300
GARRETT JOHN LYNCH M.D.
Orthopaedic Surgery (Sports Medicine)
2003 MEDICAL PARKWAY, SUITE 400
ANNAPOLIS, MD 21401
Anne Arundel County (410) 573-2530
WAJEEHA BILAL MARFANI M.B.,B.S.
Student in an Organized Health Care Education/Training Program
2003 MEDICAL PARKWAY, SUITE 350
ANNAPOLIS, MD 21401
Anne Arundel County (443) 951-4286
SHAKHABUTDIN MURTUZALIEV MD
Student in an Organized Health Care Education/Training Program
2003 MEDICAL PARKWAY, SUITE 350
ANNAPOLIS, MD 21401
Anne Arundel County (443) 951-4286
DR. BIRGITTA E MILLER MD
Internal Medicine
2003 MEDICAL PARKWAY, SUITE 100
ANNAPOLIS, MD 21401
Anne Arundel County (410) 573-1110
TAMAM MUSAYEVA M.D
Student in an Organized Health Care Education/Training Program
2003 MEDICAL PARKWAY, SUITE 350
ANNAPOLIS, MD 21401
Anne Arundel County (443) 951-4286
AANUSHA GHOURI M.D
Student in an Organized Health Care Education/Training Program
2003 MEDICAL PARKWAY, SUITE 350
ANNAPOLIS, MD 21401
Anne Arundel County (443) 951-4286

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 Qetevan Gvazava's NPI number?

The NPI number for Qetevan Gvazava is 1538913850. It was assigned to this individual provider in the NPPES registry on April 15, 2024.

Where is Qetevan Gvazava located?

Qetevan Gvazava practices at 2003 Medical Parkway Suite 350, Annapolis, MD 21401. The listed phone number is (443) 951-4286.

What is Qetevan Gvazava's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Qetevan Gvazava enrolled in Medicare?

Yes. Qetevan Gvazava is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Qetevan Gvazava was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.