Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eka Maisuradze

Individual provider Meals Provider · NPI 1558982124

Eka Maisuradze is a Meals Provider in Philadelphia, Pennsylvania. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

8336 Bustleton Ave
Philadelphia, PA 19152-1909
Phone: (215) 742-9811
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8336 Bustleton Ave, Philadelphia, PA 19152-1909 — (215) 742-9811

Specialties & licences

Meals Provider (primary) Taxonomy 174200000X

Record details

NPI number1558982124
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 5, 2020
Last updated in NPPESMay 5, 2020
Certification dateMay 5, 2020

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