Mariami Gabadadze, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Sioux Falls, SD
NPI 1740028299 · NPPES record last updated Jul 18, 2024
Key facts
- NPI
- 1740028299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1400 W 22ND St
Sioux Falls, SD 57105-1554 - Phone
- (605) 312-8489
- NPI assigned
- Jul 18, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1400 W 22ND St
Sioux Falls, SD 57105-1554
Mailing address
5501 E 18TH St Apt 344
Sioux Falls, SD 57110-2838
Phone (605) 212-4043
Other providers in Sioux Falls, SD
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- Heidi Marie Furth
- Jenny Leigh Furth
- Fusion Psychiatry & Wellness
- G2G PT LLC
- Jessica Gabbert
- Christopher Gacke
- Jillian C Gacke
- Joan Carol Gadbois
- C Thomas Gaeckle
All providers in Sioux Falls, SD · Student in an Organized Health Care Education/Training Program in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.