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

Maia Tavadze

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1720368533

Maia Tavadze is an Internal Medicine in Baltimore, Maryland. Qualified in 2009, 17 years ago. Practices with Luminis Health Medical Group, LLC, a 549-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
17
Licensed in
MD
In the registry since
2011
Specialties on file
2

Practice location Address checks out

9000 Franklin Square Dr
Baltimore, MD 21237-3901
Phone: (443) 777-8186
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence D78301 (MD)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1720368533
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 24, 2011
Last updated in NPPESAugust 9, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Luminis Health Medical Group, Llc — 549 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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