Look up the most recent NPI and PECOS records

Patman Mzhavanadze

Internal Medicine

Allopathic & Osteopathic Physicians

4000 Coliseum Dr, Ste 445, Hampton, VA 23666-5906

PECOS Enrollment

Based on the most recent information from CMS, provider Patman Mzhavanadze is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1255514071
Provider Type
Individual
Full Name
Mzhavanadze, Patman
Credential
MD

Gender
Female
Sole Proprietor
Yes
Enumeration Date
12/14/2007
Last Updated
9/18/2020

Contact Information

Practice Location

4000 Coliseum Dr, Ste 445, Hampton, VA 23666-5906

(757) 827-2127

(757) 827-2255

Mailing Location

4000 Coliseum Dr, Ste 445, Hampton, VA 23666-5906

(757) 827-2127

(757) 827-2255

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 0101243441 Virginia
Code 208M00000X	Description Hospitalist Allopathic & Osteopathic Physicians	License 0101243441 Virginia

Patman Mzhavanadze

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Karasek, Robin

Rothfuss, Henry Lester

Centerwell Senior Primary Care Va Pllc

Ima, Shumona Zahid

Johnson, Sandra S

Hampton Roads Internal Medicine

Affram, Kwame Ofori

Emechebe, Nonso Samuel

Sutton, Thaddeus G

Sentara Medical Group