Baramidze, George

Baramidze, George is an individual health care provider with primary practice located at 2820 W Charleston Blvd Ste 33 , Las Vegas NV 89102-1934. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Baramidze, George can be contacted via phone (702) 880-1558.

Contact Information

Primary practice address
2820 W Charleston Blvd Ste 33 Las Vegas NV 89102-1934
Fax: (702) 870-6821
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 12926 Nevada
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 12926 Nevada

Profile Details

NPI number 1780861849
LBN Legal business name Baramidze, George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2008
Last updated Jul 8th, 2020 - about 5 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1780861849 NPPES
Nevada MEDICAID 1780861849

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