Georgiy I Chikvashvili (NPI# 1215169552, PAC ID# 0840435947) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HOSPITALIST.
| Nation Provider ID (NPI) | 1215169552 |
| PAC ID by PECOS | 0840435947 |
| Professional Enrollment ID | I20130320000405 |
| Full Name | Georgiy I Chikvashvili |
| Organization Legal Name | SOUTHWEST SUFFOLK MEDICAL, P.C. |
| Address |
48 Route 25a 003 Smithtown NY 11787-1431 |
| Phone Number | 6318623875 |
| Gender | M |
| Graduation Year | 1985 |
| Primary Specialty | HOSPITALIST |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 0244396349 |
| Number of Group Practice Members | 114 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330286 | GOOD SAMARITAN HOSPITAL MEDICAL CENTER |
| 330107 | PECONIC BAY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1300 Roanoke Ave, Riverhead, NY 11901-2031 | 6315486101 | CENTRAL SUFFOLK HOSPITAL |
| 48 Route 25a, Smithtown, NY 11787-1431 | 6318623000 | SOUTHWEST SUFFOLK MEDICAL, P.C. |
| 48 Route 25a 003, Smithtown, NY 11787-1431 | 6318623875 | SOUTHWEST SUFFOLK MEDICAL, P.C. |
| 48 Route 25a 007, Smithtown, NY 11787-1431 | 6318623600 | SOUTHWEST SUFFOLK MEDICAL, P.C. |
| 1000 Montauk Hwy, West Islip, NY 11795-4927 | 6313763000 | SOUTHWEST SUFFOLK MEDICAL, P.C. |
| Organization Legal Name | SOUTHWEST SUFFOLK MEDICAL, P.C. |
| Physicians | 105 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vishal Mano Thubrikar | Hospitalist | Southwest Suffolk Medical, P.C. | 48 Route 25a 303, Smithtown, NY 11787-1454 |
| Harjot Singh | Hospitalist | Southwest Suffolk Medical, P.C. | 100 Port Washington Blvd, Roslyn, NY 11576-1347 |
| Konstadinos J Spyris | Hospitalist | Southwest Suffolk Medical, P.C. | 50 Route 25a, Smithtown, NY 11787-1348 |
| Syed A Kamal | Hospitalist | Southwest Suffolk Medical, P.C. | 1000 N Village Ave, Rockville Center, NY 11570-1000 |
| Carlos Kim | Hospitalist | Southwest Suffolk Medical, P.C. | 100 Port Washington Blvd, Roslyn, NY 11576-1347 |
| Salma S Islam | Hospitalist | Southwest Suffolk Medical, P.C. | 50 Route 25a, Smithtown, NY 11787-1348 |
| Omar Syed Ahmad | Hospitalist | Southwest Suffolk Medical, P.C. | 1000 Montauk Hwy, West Islip, NY 11795-4927 |
| Maria V Fedoseeva | Hospitalist | Southwest Suffolk Medical, P.C. | 100 Port Washington Blvd, Roslyn, NY 11576-1347 |
| Manmeet S Ahluwalia | Hospitalist | Southwest Suffolk Medical, P.C. | 100 Port Washington Blvd, Roslyn, NY 11576-1347 |
| Christina M Antoine | Hospitalist | Southwest Suffolk Medical, P.C. | 50 Route 25a, Smithtown, NY 11787-1348 |
| Street Address |
48 ROUTE 25A 003 |
| City | SMITHTOWN |
| State | NY |
| Zip | 11787-1431 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amit Goel | Hospitalist | Southwest Suffolk Medical, P.C. | 48 Route 25a 003, Smithtown, NY 11787-1431 |
| Fozia A Jangda | Hospitalist | Southwest Suffolk Medical, P.C. | 48 Route 25a 003, Smithtown, NY 11787-1431 |
| Ankineedu N Prasad | Hospitalist | Southwest Suffolk Medical, P.C. | 48 Route 25a 003, Smithtown, NY 11787-1431 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronak T Shah | Pulmonary Disease | Stony Brook Internists, University Faculty Practice Corporation | 240 Middle Country Rd, Smithtown, NY 11787 |
| Haidee Ganz-bonhurst | Physical Therapy | 50 Route 111, Suite 103, Smithtown, NY 11787 | |
| Paula Pagan-rosas | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Rosemary D Cabanillas | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Angela R Cammarata | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Edward D Smith Iii | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Theresa A Keane | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Jennifer Michelle Digiovanni | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Joanne M Varrichio | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Colleen J Kalman | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Find all physicians in zip 11787 | |||
| City | SMITHTOWN |
| Zip Code | 11787 |
| Specialty | HOSPITALIST |
| City + Specialty | SMITHTOWN + HOSPITALIST |
Please comment or provide details below to improve the information on Georgiy I Chikvashvili.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.