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Dr. Nana S Amiridze, MD,PHD
Neuroradiology Physician in Melbourne, Florida
NPI 1447246509

Nana S Amiridze is a Neuroradiology Physician based in Rockledge, FL and is specialized in Neuroradiology. Nana S Amiridze practices in Melbourne, FL and has the professional credentials of MD,PHD. The NPI Number for Nana S Amiridze is 1447246509 and holds a License No. D0060165 (Florida).

The current practice location address for Nana S Amiridze is 1251 S Hickory St, Melbourne, FL and can be reached out via phone at 321-434-3420 and via fax at 321-434-3423.

Location: 1251 S Hickory St, Melbourne, FL, 32956-1600
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447246509
Provider Name
Nana S Amiridze
Credential
MD,PHD
Provider Entity Type
Individual
Gender
Female
Address
1251 S Hickory St, Melbourne, FL, 32956-1600
Phone Number
321-434-3420
Fax Number
321-434-3423
Provider Enumeration Date
09/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
405376100 05 MD
60340002 01 MD CAREFIRST BCBS
0063 01 DC CAREFIRST BCBS
001680100 05 FL
institution
Provider Business Practice Location Address Details
Address
1251 S Hickory St
City
Melbourne
State
Florida
Zip
32901-3221
Phone Number
321-434-3420
Fax Number
321-434-3423
person
Provider Business Mailing Address Details
Address
1251 S Hickory St
City
Melbourne
State
Florida
Zip
32901-3221
Phone Number
321-434-3420
Fax Number
321-434-3423
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
2085N0700X
License No.
ME105768 (Florida)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
ME105768 (Florida)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
D0060165 (Maryland)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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