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

Mamuka Khundadze, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1760368526

Mamuka Khundadze, MD is a Student in an Organized Health Care Education/Training Program in Annapolis, Maryland. Licensed in Maryland. Registered with an NPI since 2025.

Licensed in
MD
In the registry since
2025
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

2003 Medical Pkwy Ste 350
Annapolis, MD 21401
Phone: (443) 951-4286
Fax: (443) 949-7380
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (MD)

Record details

NPI number1760368526
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 14, 2025
Last updated in NPPESDecember 5, 2025
Certification dateDecember 5, 2025

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