Individual
DR. IRAKLI GIORGBERIDZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6550 FANNIN ST, SUITE 1723, HOUSTON, TX 77030-2717
(713) 799-1610
(713) 799-1558
Mailing address
6550 FANNIN ST STE 1723, HOUSTON, TX 77030-2747
(713) 799-1610
(713) 799-1558
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
217421
MA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
M1705
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8S9520
BLUE CROSS BLUE SHIELD
TX
Enumeration date
05/23/2006
Last updated
12/07/2007
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