Tavberidze, Nika

Tavberidze, Nika is an individual health care provider with primary practice located at 600 Highland Ave , Madison WI 53792-1465. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine. Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine is his primary health care specialty. Tavberidze, Nika can be contacted via phone (608) 263-8443.

Contact Information

Primary practice address
600 Highland Ave Madison WI 53792-1465
Phone: (608) 263-8443
Fax: (608) 262-7174
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 81986-20 Wisconsin

Profile Details

NPI number 1598348567
LBN Legal business name Tavberidze, Nika
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2021
Last updated Jun 14th, 2024 - about 3 months 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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