DR. VLADIMER KITIASHVILI (NPI# 1639690662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639690662 |
| Entity Type | Individual |
| Full Name | DR. VLADIMER KITIASHVILI |
| Credential | MD |
| Practice Address |
34 Maple Street Norwalk CT 06856 |
| Mailing Address |
34 Maple St Norwalk CT 06850-3815 |
| Practice Telephone | (203) 852-2025 |
| Mailing Telephone | 2038522025 |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2017-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
34 MAPLE STREET |
| City | NORWALK |
| State | CT |
| Zip Code | 06856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477505188 | Glynis A Walsh | Specialist | 34 Maple Street, Norwalk Hospital Emergency Department, Norwalk, CT 06852 | 2006-05-17 |
| 1609430776 | Cecile Diane Moliva Anendaga | Radiology | 34 Maple Street, Norwalk, CT 06850 | 2019-04-24 |
| 1285155994 | Rabail Sadiq | Student in an Organized Health Care Education/Training Program | 34 Maple Street, Norwalk, CT 06850 | 2017-07-03 |
| 1720509433 | Mufti Mushfiqur Rahman | Internal Medicine | 34 Maple Street, Norwalk, CT 06850 | 2017-07-03 |
| 1184145906 | Anvar Jabbar Hoja | Physician Assistant | 34 Maple Street, Norwalk Hospital/ Surgery Department., Norwalk, CT 06856 | 2017-07-01 |
| 1013392166 | Bernadette Ramos-cardona | Student in an Organized Health Care Education/Training Program | 34 Maple Street, Radiology Department, Norwalk, CT 06850 | 2015-07-29 |
| 1124389390 | Elyana Matayeva | Internal Medicine | 34 Maple Street, Pulmonary, Norwalk, CT 06856 | 2012-06-05 |
| 1932363827 | Limore Maron | Psychiatry & Neurology | 34 Maple Street, Norwalk Hospital Department of Psychiatry, Norwalk, CT 06850 | 2008-07-10 |
| 1134340730 | Ellen Kathryn Grace | Nurse Practitioner | 34 Maple Street, Norwalk, CT 06850-3894 | 2007-05-01 |
| 1700962693 | Patricia Ann Risley | Nurse Practitioner | 34 Maple Street, Norwalk, CT 06850 | 2006-10-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962920561 | Eugenie Cho | Physician Assistant | 34 Maple St., Norwalk, CT 06856 | 2017-09-03 |
| 1508249335 | Jaime Leahy | Student in an Organized Health Care Education/Training Program | 34 Maple Stree, Norwalk, CT 06856 | 2015-06-29 |
| 1295885978 | Melissa Anne Mahon | Speech-Language Pathologist | 26 Stevens. St., Norwalk, CT 06856 | 2007-01-12 |
| 1548360944 | Jonathan Barnhard | Obstetrics & Gynecology | 34 Stevens Street, 4th Floor, Norwalk, CT 06856 | 2006-09-25 |
| 1770069510 | Olga Khaliapin | Student in an Organized Health Care Education/Training Program | 34 Maple St, Norwalk, CT 06856 | 2018-07-16 |
| 1174044804 | Amanda Marie Lindo | Student in an Organized Health Care Education/Training Program | 34 Maple St, Norwalk, CT 06856 | 2017-07-03 |
| 1922554682 | Robert Andrew Douglas Wilson | Student in an Organized Health Care Education/Training Program | 34 Maple St, Norwalk, CT 06856 | 2016-08-31 |
| 1518374255 | Cassie Petit | Physician Assistant | 24 Stevens Street, Norwalk, CT 06856 | 2014-07-15 |
| 1366702847 | Danille Prime | Internal Medicine | 34 Maple St, Norwalk, CT 06856 | 2012-05-18 |
| 1780941716 | Bridget Eileen Debartolomeo | Clinical Nurse Specialist | 24 Stevens St, Norwalk, CT 06856 | 2012-04-16 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917561 | Ryan Halloran | Student in an Organized Health Care Education/Training Program | 8 Apple St, Norwalk, CT 06851-4104 | 2020-06-18 |
| 1174188379 | Lynsey Michelle Schraeder | Student in an Organized Health Care Education/Training Program | 52 Wolfpit Ave Apt 1a, Norwalk, CT 06851-4206 | 2019-05-03 |
| 1962986844 | Thu M Hoang | Student in an Organized Health Care Education/Training Program | 12440 Firestone Blvd Ste 3010, Norwalk, CA 90650-4328 | 2018-09-18 |
| 1588182596 | Graham Martin | Student in an Organized Health Care Education/Training Program | 12440 E. Firestone Ave, Suite 3020, Norwalk, CA 90065-9331 | 2017-08-30 |
| 1689108847 | Eliana Segura | Student in an Organized Health Care Education/Training Program | 12440 Firestone Ave Blvd., 3020, Norwalk, CA 90650 | 2017-04-14 |
| 1144763434 | Cynthia Eliezer | Student in an Organized Health Care Education/Training Program | 120 East Ave 2nd Flr., Norwalk, CT 06851 | 2016-11-18 |
| 1861843559 | Valerie Andree Vincent | Student in an Organized Health Care Education/Training Program | 120 East Avenue-2nd Floor, Catholic Charities, Norwalk, CT 06851 | 2016-06-24 |
| 1548634322 | Leslie Yesenia Lazo | Student in an Organized Health Care Education/Training Program | 12440 E. Firestone Blvd, Norwalk, CA 90650 | 2015-11-17 |
| 1588033799 | Aida Pelayo | Student in an Organized Health Care Education/Training Program | 12415 Imperial Hwy, Unit 49, Norwalk, CA 90650-3100 | 2015-09-17 |
| 1508249335 | Jaime Leahy | Student in an Organized Health Care Education/Training Program | 34 Maple Stree, Norwalk, CT 06856 | 2015-06-29 |
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| 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.