ANZOR MODZGVRESCHVILI RD NPI 1245866862

NPI Details

Anzor Modzgvreschvili, RD is a nutrition and gerontological dietitian registered in Detroit, MI. The provider is 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. Anzor Modzgvreschvili, RD NPI is 1245866862. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

15750 JOY RD
DETROIT, MI
ZIP 48228-196
Phone: (313) 273-6850

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Diabetes outpatient self-management training services, individual, per 30 minutes (HCPCS:G0108)

The enumeration date for this NPI number is 3/15/2020 and was last updated on 9/20/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: