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EKA MAISURADZE
NPI 1558982124
Meals in Philadelphia, PA

Active since May 05, 2020
8336 BUSTLETON AVE, PHILADELPHIA, PA 19152(215) 742-9811 Get Directions Write a Review

NPPES record last updated: May 5, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eka Maisuradze NPPES

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

EKA MAISURADZE (NPI 1558982124) is an individual meals provider in Philadelphia, Pennsylvania and active in the NPI registry since May 2020. She maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1558982124
Entity TypeIndividualFemale
Primary Taxonomy174200000X
Provider Legal NameEKA MAISURADZE
Location Address8336 BUSTLETON AVEPhiladelphia, PA 19152-1909
Mailing Address8336 Bustleton AvePhiladelphia, PA 19152-1909 · (215) 742-9811
Phone(215) 742-9811
Sole ProprietorYes
Enumeration DateMay 5, 2020
NPPES CertifiedMay 5, 2020
✔ NPI 1558982124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMealsOther Service Providers
Taxonomy Code174200000X
Definition
A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
8336 BUSTLETON AVE, Philadelphia, PA 19152
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Secondary Practice Location 1

Location 18336 Bustleton AvePhiladelphia, PA 19152-1909 · Phone (215) 742-9811

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 Eka Maisuradze's NPI number?

The NPI number for Eka Maisuradze is 1558982124. It was assigned to this individual provider in the NPPES registry on May 5, 2020.

Where is Eka Maisuradze located?

Eka Maisuradze practices at 8336 Bustleton Ave, Philadelphia, PA 19152. The listed phone number is (215) 742-9811.

What is Eka Maisuradze's specialty?

The primary specialty registered for this NPI is Meals with taxonomy code 174200000X.

When was this NPI record last updated?

The NPPES record for Eka Maisuradze was last updated on May 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.