DR. Larisa Surenovna Dzhavakova, M.D.
NPI #1003070319 in Philadelphia, Pennsylvania
Provider Information
- NPI Number
- 1003070319
- Entity Type
- Individual
- Name
- DR. Larisa Surenovna Dzhavakova, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- M.D.
- Enumeration Date
- Jul 16, 2008
- Last Updated
- Jul 16, 2008
Practice Location
- Address
- 1701 A GRANT AVE
- City
- Philadelphia
- State
- Pennsylvania
- ZIP Code
- 19115-3160
- Phone
- (215) 464-3838
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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