Soulakvelidze, Irakli

Soulakvelidze, Irakli is an sole proprietor health care provider with primary practice located at 1959 Ne Pacific St , Seattle WA 98195-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Soulakvelidze, Irakli can be contacted via phone (206) 598-4260.

Contact Information

Primary practice address
1959 Ne Pacific St Seattle WA 98195-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD00040470 Washington

Profile Details

NPI number 1588638670
LBN Legal business name Soulakvelidze, Irakli
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2006
Last updated Dec 24th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588638670 NPPES
Washington MEDICAID 1588638670
Washington Other 0202973

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