Dr Larisa Surenovna Dzhavakova, MD - Counselor in Philadelphia, PA

Dr Larisa Surenovna Dzhavakova, MD is a Counselor - Mental Health based in Philadelphia, Pennsylvania. Dr Larisa Surenovna Dzhavakova is licensed to practice in * (Not Available) (license number ) and her current practice location is 1701 A Grant Ave, Philadelphia, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at (215) 464-3838.

NPI number for Dr Larisa Surenovna Dzhavakova is 1003070319 and her current mailing address is 1701 A Grant Ave, Philadelphia, Pennsylvania. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003070319.

Contact Information

Dr Larisa Surenovna Dzhavakova, MD
1701 A Grant Ave,
Philadelphia, PA 19115-3160
(215) 464-3838
(215) 464-3899

Healthcare Provider's Profile

Full NameDr Larisa Surenovna Dzhavakova
GenderFemale
SpecialityCounselor - Mental Health
Location1701 A Grant Ave, Philadelphia, Pennsylvania
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003070319
  • Provider Enumeration Date: 07/16/2008
  • Last Update Date: 07/16/2008

Medical Identifiers

Medical identifiers for Dr Larisa Surenovna Dzhavakova such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003070319NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Larisa Surenovna Dzhavakova is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Larisa Surenovna Dzhavakova, MD
1701 A Grant Ave,
Philadelphia, PA 19115-3160

Ph: (215) 464-3838
Dr Larisa Surenovna Dzhavakova, MD
1701 A Grant Ave,
Philadelphia, PA 19115-3160

Ph: (215) 464-3838

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› Verified 8 days ago


Counselor in Philadelphia, PA

Lorraine Braxton,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 4900 Wyalusing Ave, Philadelphia, PA 19131
Phone: 215-473-7033    
Mr. David Joel Silbermann, M.ED, L.P.C.
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 8001 Roosevelt Blvd, Suite 205-207, Philadelphia, PA 19152
Phone: 215-332-1914    Fax: 215-332-1873
Ms. Nicole Ivory Goicuria, MA
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 2514 N Broad St, Philadelphia, PA 19132
Phone: 215-599-2808    Fax: 215-599-1041
Lori L Reyes, BS
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 2927 N 5th St, Philadelphia, PA 19133
Phone: 484-221-9136    Fax: 484-221-9130
Gloria I Jimenez, MA
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 2152 N Front St, Philadelphia, PA 19122
Phone: 484-221-9136    Fax: 484-221-9130
Ms. Bernice B Tett, MS
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1734 S Chadwick St, Philadelphia, PA 19145
Phone: 484-300-8699    

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