Individual
DR. GIORGI TSEREDIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 CHATHAM WAY APT 301, MAYFIELD HEIGHTS, OH 44124-2039
(216) 773-4972
Mailing address
200 CHATHAM WAY APT 301, MAYFIELD HEIGHTS, OH 44124-2039
(216) 773-4972
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207R00000X
Internal Medicine Physician
Primary
0101243026
VA
208M00000X
Hospitalist Physician
0101243026
VA
Other
Enumeration date
12/12/2007
Last updated
10/16/2019
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