Mchedlishvili, Gela G
Mchedlishvili, Gela G is an individual health care provider with primary practice located at 12660 Riverside Dr Ste 215 , North Hollywood CA 91607-3430. 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. Mchedlishvili, Gela G can be contacted via phone (818) 487-0040.Contact Information
Primary practice address
12660 Riverside Dr Ste 215
North Hollywood CA 91607-3430
Phone: (818) 487-0040
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD063153L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | MD063153L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | C143015 | California |
Profile Details
| NPI number | 1942418017 |
|---|---|
| LBN Legal business name | Mchedlishvili, Gela G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2007 |
| Last updated | Feb 19th, 2020 - about 4 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 | 1942418017 | NPPES |
| Pennsylvania | MEDICAID | 101971303 | |
| Pennsylvania | Other | 20067552 | |
| Pennsylvania | Other | 2167388 | |
| Pennsylvania | Other | 9566069 | |
| Pennsylvania | Other | 1567154 | |
| Pennsylvania | Other | 1978152 | |
| Pennsylvania | Other | 111166 | |
| Pennsylvania | Other | 211714 | |
| Pennsylvania | Other | 900186 | |
| Pennsylvania | Other | 220419 | |
| Pennsylvania | Other | 50071495 |
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