Shota Gurchumelidze in San Diego - Internal Medicine
Shota Gurchumelidze - NPI 1821284449
Shota Gurchumelidze is a Internal Medicine in San Diego, California. Shota Gurchumelidze practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Shota Gurchumelidze is 1821284449. The last update date is 2018-02-01.
Shota Gurchumelidze's current location address is 11848 Miro Cir, San Diego, California. You can contact this provider via phone number 8589973161. The mailing address for Shota Gurchumelidze is 11848 Miro Cir, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shota Gurchumelidze |
|---|---|
| Address | 11848 Miro Cir, San Diego, California |
| Phone Number | 8589973161 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1821284449 |
|---|---|
| Provider Enumeration Date | 2007-09-18 |
| Last Updated Date | 2018-02-01 |
Provider Mailing Address Detail
| Address | 11848 Miro Cir |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921313323 |
| Phone Number | 8589973161 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | A-101612 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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What is the unique identification code assigned to Shota Gurchumelidze by the Centers for Medicare & Medicaid Services?
The Shota Gurchumelidze has been issued the NPI (National Provider Identifier) 1821284449. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Shota Gurchumelidze's facilities are geographically located?
The facilities of Shota Gurchumelidze are physically situated at the following location: 11848 Miro Cir, San Diego, CA, 921313323.
What is Shota Gurchumelidze's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Shota Gurchumelidze is Internal Medicine, and the taxonomy code that categorizes this field of expertise is 207R00000X.
On what date did the Shota Gurchumelidze receive its 1821284449 assignment from the Centers for Medicare & Medicaid Services?
The Shota Gurchumelidze was assigned its 1821284449 by the Centers for Medicare & Medicaid Services on 2007-09-18.
When was the information pertaining to Shota Gurchumelidze most recently updated or revised?
The details related to Shota Gurchumelidze, including its address, specialty, and other relevant information, were last updated or revised on 2018-02-01.