Individual
DR. ALEX KARTVELISHVILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2225 MORMON TREK BLVD STE 100, IOWA CITY, IA 52246-4407
(641) 754-6200
(641) 754-6245
Mailing address
309 E CHURCH ST, MARSHALLTOWN, IA 50158-2946
(641) 754-6200
(641) 754-6245
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
42695
IA
207WX0107X
Retina Specialist (Ophthalmology) Physician
42695
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215124706
WELLMARK
IA
05
—
1215124706
—
IA
Enumeration date
09/27/2007
Last updated
02/15/2018
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