Qvavadze, Teah

Qvavadze, Teah is an sole proprietor health care provider with primary practice located at 747 N Rutledge St Fl 4 , Springfield IL 62702-6700. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is her primary health care specialty. Qvavadze, Teah can be contacted via phone (217) 545-8000.

Contact Information

Primary practice address
747 N Rutledge St Fl 4 Springfield IL 62702-6700
Phone: (217) 545-8000
Fax: (217) 545-7877
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MT207459 Pennsylvania
Allopathic & Osteopathic Physicians / Surgery 208600000X 036.166578 Illinois
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 036.166578 Illinois

Profile Details

NPI number 1033523501
LBN Legal business name Qvavadze, Teah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2014
Last updated Aug 29th, 2023 - about last year

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.

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