Individual provider · Type 1 NPI
Anzor Modzgvreschvili, RD
Gerontological Nutrition Registered Dietitian · Detroit, MI
Practice location
15750 Joy Rd
Detroit, MI 48228-2196
Mailing address
6201 Greenleigh Ave
Middle River, MD 21220-2004
Other practice locations
- 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 · (301) 896-2578
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontological Nutrition Registered Dietitian | 133VN1101X | None listed |
| Gerontological Nutrition Registered Dietitian Primary | 133VN1101X | C05672 (MD) |
Gerontological Nutrition Registered Dietitian: An individual who is a Specialist in Gerontological Nutrition and provides nutrition care to promote quality of life and optimal health for older adults across the continuum of care, including: acute care, post-acute care, primary care, long-term care, assisted living, home care, palliative care, community-based nutrition, food service, correctional facilities, and government programs. RDN who works indirectly with …
3 other providers at this address
About NPI 1245866862
Anzor Modzgvreschvili, RD's National Provider Identifier is 1245866862, issued on Mar 15, 2020. The primary taxonomy on file is Gerontological Nutrition Registered Dietitian (133VN1101X), and the practice location is in Detroit, MI. The record was last updated on Sep 20, 2022.