Ramaz Dzhanashvili, M.D

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

A45389 Issued in CA

Practice address

17777 Ventura Blvd Ste 250
Encino, CA 91316-3717

Phone

(818) 654-8311

Fax

(818) 654-8382

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312848000000",
    "number": "1215950647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17777 VENTURA BLVD STE 250",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163717",
            "telephone_number": "818-654-8311",
            "fax_number": "818-654-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17777 VENTURA BLVD STE 250",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163717",
            "telephone_number": "818-654-8311",
            "fax_number": "818-654-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZHANASHVILI",
        "first_name": "RAMAZ",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2011-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "CA",
            "license": "A45389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A453890",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Legal Medicine in Encino, CA
• Providers in Encino, CA by specialty
• Legal Medicine in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.