Gregory G Khurtsidze in Longview - Internal Medicine

Gregory G Khurtsidze - NPI 1396721114

Gregory G Khurtsidze is a Internal Medicine in Longview, Washington. Gregory G Khurtsidze practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Gregory G Khurtsidze is 1396721114. The last update date is 2007-07-08.

Gregory G Khurtsidze's current location address is Po Box 1338, Longview, Washington. You can contact this provider via phone number 3604239580 and fax number 3605776230. The mailing address for Gregory G Khurtsidze is Po Box 1338, Longview, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Gregory G Khurtsidze
Address Po Box 1338, Longview, Washington
Phone Number 3604239580
Fax Number 3605776230
Sole Proprietor X
Credentials M.D.

NPI Number Detail

NPI Number 1396721114
Provider Enumeration Date 2005-12-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 1338
City Longview
State Washington (WA)
Post Code 986327785
Phone Number 3604239580
Fax Number 3605776230

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 42032
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8374639 WA --

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FAQs about Gregory G Khurtsidze

What is the unique 10-digit identification code assigned to Gregory G Khurtsidze by the Centers for Medicare & Medicaid Services?

The Gregory G Khurtsidze has been issued the NPI (National Provider Identifier) 1396721114, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Gregory G Khurtsidze's physical address?

The Gregory G Khurtsidze is physically located at Po Box 1338, in the city of Longview, WA, with the postal code 986327785.

What is Gregory G Khurtsidze's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Gregory G Khurtsidze is Internal Medicine, and the taxonomy classification code that categorizes this area of expertise is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1396721114 to Gregory G Khurtsidze?

The Centers for Medicare & Medicaid Services assigned the 1396721114 to Gregory G Khurtsidze on 2005-12-22.

As of what date were the Gregory G Khurtsidze's details last updated?

The information pertaining to the Gregory G Khurtsidze, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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