Kartvelishvili, Alex
Kartvelishvili, Alex is an individual health care provider with primary practice located at 2225 Mormon Trek Blvd Ste 100 , Iowa City IA 52246-4407. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Kartvelishvili, Alex can be contacted via phone (641) 754-6200.Contact Information
Primary practice address
2225 Mormon Trek Blvd Ste 100
Iowa City IA 52246-4407
Phone: (641) 754-6200
Fax: (641) 754-6245
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 42695 | Iowa |
Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 42695 | Iowa |
Profile Details
NPI number | 1215124706 |
---|---|
LBN Legal business name | Kartvelishvili, Alex |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 27th, 2007 |
Last updated | Feb 15th, 2018 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1215124706 | NPPES |
Iowa | Other | 1215124706 | WELLMARK |
Iowa | MEDICAID | 1215124706 | WELLMARK |
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