Anzor Modzgvreschvili, RD
NPI 1245866862 · Gerontological Nutrition Registered Dietitian · Detroit, MI
Anzor Modzgvreschvili, RD is a Gerontological Nutrition Registered Dietitian provider in Detroit, MI (NPI 1245866862).
Provider details
- NPI number
- 1245866862
- Entity type
- Individual
- Primary specialty
- Gerontological Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 8600 Old Georgetown RdBethesda, MD 20814-1422Phone: (301) 896-2578
Registry dates
- Enumerated
- 2020-03-15
- Last updated
- 2022-09-20
- Certified
- 2022-09-20
Frequently asked questions
- What is Anzor Modzgvreschvili's NPI number?
- Anzor Modzgvreschvili's National Provider Identifier (NPI) is 1245866862, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Anzor Modzgvreschvili's specialty?
- Anzor Modzgvreschvili is listed in the NPPES registry with a primary specialty of Gerontological Nutrition Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Anzor Modzgvreschvili located?
- Anzor Modzgvreschvili's practice location on file with NPPES is 15750 Joy Rd, Detroit, MI 48228-2196.
- What is Anzor Modzgvreschvili's phone number?
- The practice phone number listed in the NPPES registry for Anzor Modzgvreschvili is (313) 273-6850.
- Is Anzor Modzgvreschvili's NPI active?
- Yes — Anzor Modzgvreschvili's NPI (1245866862) is active in the NPPES registry as of the last update on 2022-09-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.