MAYA BERDZENISHVILI MD LLC NPI 1477155158

NPI Information

  • NPI: 1477155158
  • Provider Name: MAYA BERDZENISHVILI MD LLC
  • Classification: Internal Medicine - 207RP1001X
  • Specialization: Pulmonary Disease
  • Entity Type: Organization
  • Other Name: MAYA BERDZENISHVILI MD LLC
  • Address: 220 COMMONWEALTH AVE APT 4
    BOSTON, MA
    ZIP 02116
  • Phone: (617) 262-6402

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NPI Details

MAYA BERDZENISHVILI MD LLC is a pulmonary disease internal medicine in Boston, MA. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. MAYA BERDZENISHVILI MD LLC NPI is 1477155158. The provider is registered as an organization entity type.
The provider Other Name Is Maya Berdzenishvili Md Llc.

The provider's business location address is:

220 COMMONWEALTH AVE APT 4
BOSTON, MA
ZIP 02116-510
Phone: (617) 262-6402
Fax: (617) 262-6402

The provider's authorized official is Maya Berdzenishvili .
The authorized official title is Owner and has the following contact phone number (617) 262-0462.

The enumeration date for this NPI number is 11/9/2020 and was last updated on 2/19/2024.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0400XClinic/CenterRehabilitationNo
2207RP1001XInternal MedicinePulmonary DiseaseYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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