Mikhelashvili, Nodari
Mikhelashvili, Nodari is an individual health care provider with primary practice located at 363 Highland Ave , Fall River MA 02720-3703. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Mikhelashvili, Nodari can be contacted via phone (508) 679-3131.Contact Information
Primary practice address
363 Highland Ave
Fall River MA 02720-3703
Phone: (508) 679-3131
Fax: (508) 679-7146
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 209688 | Massachusetts |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 241064-1 | New York |
Profile Details
| NPI number | 1285632059 |
|---|---|
| LBN Legal business name | Mikhelashvili, Nodari |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2005 |
| Last updated | Nov 18th, 2009 - about 15 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 | 1285632059 | NPPES |
| Massachusetts | MEDICAID | 0199087 |
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