Giorgberidze, Irakli
Giorgberidze, Irakli is an individual health care provider with primary practice located at 6550 Fannin St Suite 1723, Houston TX 77030-2717. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, which is considered as his primary health care specialty. Giorgberidze, Irakli can be contacted via phone (713) 799-1610.Contact Information
Primary practice address
6550 Fannin St Suite 1723
Houston TX 77030-2717
Phone: (713) 799-1610
Fax: (713) 799-1558
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | M1705 | Texas |
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 217421 | Massachusetts |
Profile Details
NPI number | 1104871953 |
---|---|
LBN Legal business name | Giorgberidze, Irakli |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 23rd, 2006 |
Last updated | Dec 7th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104871953 | NPPES |
Texas | Other | 8S9520 | BLUE CROSS BLUE SHIELD |
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