Chabrashvili, Tinatin

Chabrashvili, Tinatin is an individual health care provider with primary practice located at 3401 N Broad St # C525 , Philadelphia PA 19140-5103. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is her primary health care specialty. Chabrashvili, Tinatin can be contacted via phone (301) 520-5549.

Contact Information

Primary practice address
3401 N Broad St # C525 Philadelphia PA 19140-5103
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD435242 Pennsylvania
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 000771 Georgia
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 59408 Massachusetts

Profile Details

NPI number 1235316662
LBN Legal business name Chabrashvili, Tinatin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2008
Last updated May 9th, 2017 - about 7 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 1235316662 NPPES
Pennsylvania Other MD435242 MEDICAL LICENCE NUMBER
Pennsylvania Other 000771 MEDICAL LICENCE NUMBER

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