Irakli Khulordava in Anderson - Internal Medicine
Irakli Khulordava - NPI 1457433252
Irakli Khulordava is a Internal Medicine in Anderson, South Carolina. Irakli Khulordava practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Irakli Khulordava is 1457433252. The last update date is 2019-02-07.
Irakli Khulordava's current location address is 819 N Fant St, Anderson, South Carolina. You can contact this provider via phone number 8642611800 and fax number 8642611856. The mailing address for Irakli Khulordava is 819 N Fant St, Anderson, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Irakli Khulordava |
|---|---|
| Address | 819 N Fant St, Anderson, South Carolina |
| Phone Number | 8642611800 |
| Fax Number | 8642611856 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1457433252 |
|---|---|
| Provider Enumeration Date | 2006-10-20 |
| Last Updated Date | 2019-02-07 |
Provider Mailing Address Detail
| Address | 819 N Fant St |
|---|---|
| City | Anderson |
| State | South Carolina (SC) |
| Post Code | 296215717 |
| Phone Number | 8642611800 |
| Fax Number | 8642611856 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 29322 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 293220 | SC | -- | |
| P00137642 | SC | RR MEDICARE |
Post Comment/ Review Below
What is the Irakli Khulordava's 1457433252?
The Irakli Khulordava's NPI (National Provider Identifier) Number is 1457433252. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Irakli Khulordava?
The Irakli Khulordava is situated at 819 N Fant St, in the city of Anderson, state of SC, with the zip code 296215717.
What is Irakli Khulordava's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Irakli Khulordava's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1457433252 to Irakli Khulordava?
The Centers for Medicare & Medicaid Services assigned the 1457433252 to Irakli Khulordava on 2006-10-20.
As of what date were the details pertaining to Irakli Khulordava last refreshed?
The information related to the Irakli Khulordava, including its address, specialty, and other relevant details, was last updated on 2019-02-07.
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