Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Larisa Surenovna Dzhavakova, MD

Individual provider Mental Health Counselor · NPI 1003070319

Dr. Larisa Surenovna Dzhavakova, MD is a Mental Health Counselor in Philadelphia, Pennsylvania. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1701 A Grant Ave
Philadelphia, PA 19115-3160
Phone: (215) 464-3838
Fax: (215) 464-3899
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1003070319
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 16, 2008
Last updated in NPPESJuly 16, 2008

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