Bakhutashvili, Vladimer

Bakhutashvili, Vladimer is an individual health care provider with primary practice located at 101 Stadium Dr , Morgantown WV 26506-7911. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Bakhutashvili, Vladimer can be contacted via phone (304) 598-4850.

Contact Information

Primary practice address
101 Stadium Dr Morgantown WV 26506-7911
Phone: (304) 598-4850
Fax: (304) 598-4871
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 25MA11938600 New Jersey

Profile Details

NPI number 1851895080
LBN Legal business name Bakhutashvili, Vladimer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2018
Last updated Jul 13th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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