DR. EKA DAVITACHVILI


Address: 9817 Horace Harding Expy, Apt 15j, Corona, NY 11368-4248
Phone: 9173990361

DR. EKA DAVITACHVILI (NPI# 1376797894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376797894
Entity Type Individual
Full Name DR. EKA DAVITACHVILI
Credential DPM
Practice Address 9817 Horace Harding Expy
Apt 15j
Corona
NY 11368-4248
Practice Telephone 9173990361
Mailing Telephone 9173990361
Enumeration Date 2008-11-11
Last Update Date 2008-11-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
N006252 NY Podiatric Medicine & Surgery Service Providers

Office Location

Street Address 9817 HORACE HARDING EXPY
APT 15J
City CORONA
State NY
Zip Code 11368-4248

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Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1619152352 Jeffrey H. Katz, D.p.m., Inc. Podiatrist 1881 California Ave, Suite 102, Corona, CA 92881-7299 2007-12-31
1356483317 Arti C. Amin Podiatrist 1820 Fullerton Ave Ste 125, Corona, CA 92881-3160 2007-02-13
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1588129589 Caitlyn Lee Podiatrist 1820 Fullerton Ave Ste 125, Corona, CA 92881-3108 2019-02-04
1063930543 Arti C Amin Dpm Inc Podiatrist 2083 Compton Ave Ste 103, Corona, CA 92881 2017-09-05
1417135955 James A. De Silva, Dpm, Inc. Podiatrist 817 S Main St, Suite A, Corona, CA 92882-3406 2008-02-06

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Competitor

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City CORONA
Zip Code 11368

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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