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
Phone: (206) 598-4260
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1588638670 | NPPES |
Washington | MEDICAID | 1588638670 | |
Washington | Other | 0202973 |
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