Ketevan Vladi PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME103381 Issued in FL

Legal business name

KETEVAN VLADI PLLC

Practice address

2925 Aventura Blvd
Suite 101
Aventura, FL 33180-3124

Phone

(305) 931-7424

NPI assigned

Sep 18, 2014

Organization subpart

No

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

Authorized official

Name

Ketevan Vladi, MD

Title

Member

Phone

(917) 753-4770

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1982006102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 BAY RD APT 2503",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331393279",
            "telephone_number": "917-753-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 AVENTURA BLVD",
            "address_2": "SUITE 101",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803124",
            "telephone_number": "305-931-7424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KETEVAN VLADI PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "VLADI",
        "authorized_official_first_name": "KETEVAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "917-753-4770",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME103381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura H Keiss, PTA
• Bridgette J Kelley Dasilva, B.S.
• Patrick Kelley
• Kenneth R. Hodor, M.D., P.a.
• Robin Kesselman, D.O.
• Nasser Moneir Khalil, RPH
• Nicol Khan, PHARMD
• Yuliana Khanuka
• Ferial Khatib
• Ashley Yeshoua Khorsandi

• Primary Care Clinic/Center in Aventura, FL
• Providers in Aventura, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.