Konstantin Dateshidze MD

  • NPI 1104873827
According to our database, the NPI number for Konstantin Dateshidze MD is 1104873827 and activated since 17 years ago. Konstantin Dateshidze MD is an individual provider who specializes in Anesthesiology, and the primary practice location is 200 Trenton Rd, Browns Mills, NJ 08015. You can also contact Konstantin Dateshidze MD via telephone number is (609) 893-1200. Provider NPI information was last updated on 07/08/2007.

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Overview of Konstantin Dateshidze MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 05/28/2006
  • Last updated: 07/08/2007

Primary Scrop of Practice

  • Taxonomy Code: 207L00000X
  • Specialty: Anesthesiology
  • License Number: 25MA04546400
  • License State: NJ

Provider Mailing Address

  • Address: 200 Trenton Rd
    Browns Mills, NJ 08015
  • Phone: 609-893-1200
  • Fax: 609-893-1213

Provider Practice Location

  • Address: 200 Trenton Rd
    Browns Mills, NJ 08015
  • Phone: 609-893-1200
  • Fax: 609-893-1213

Scope of Practice

  • Taxonomy Code: 207L00000X
  • Specialty: Anesthesiology
  • License Number: 25MA045464
  • License State: NJ
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 0917907
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: NJ
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Konstantin Dateshidze MD?
  • A: The npi number for Konstantin Dateshidze MD is 1104873827.
  • Q: What are Konstantin Dateshidze MD's specialties?
  • A: Konstantin Dateshidze MD's specialties are Anesthesiology and different specialities.
  • Q: What is the medical license for Konstantin Dateshidze MD?
  • A: The medical license number for Konstantin Dateshidze MD is 25MA04546400 and issued in NJ in USA.
  • Q: Where is Konstantin Dateshidze MD practice location?
  • A: Konstantin Dateshidze MD is practicing at 200 Trenton Rd, Browns Mills, NJ 08015.
  • Q: How to contact Konstantin Dateshidze MD?
  • A: You can contact Konstantin Dateshidze MD via 609-893-1200.