Keshelava, George T
Keshelava, George T is an individual health care provider with primary practice located at 39 Starbrush Cir , Covington LA 70433-7304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Keshelava, George T can be contacted via phone (985) 871-4155.Contact Information
Primary practice address
39 Starbrush Cir
Covington LA 70433-7304
Phone: (985) 871-4155
Fax: (985) 871-4183
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | MD.210497 | Louisiana |
Profile Details
| NPI number | 1255541975 |
|---|---|
| LBN Legal business name | Keshelava, George T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2007 |
| Last updated | Jan 19th, 2024 - about 11 months 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 | 1255541975 | NPPES |
| Louisiana | MEDICAID | 1075914 | |
| Louisiana | Other | P01381034 |
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