Individual
DR. NIKOLOZ CHITAIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19600 E 39TH ST S, INDEPENDENCE, MO 64057-2301
(913) 222-9779
(816) 312-4380
Mailing address
19600 E 39TH ST S, INDEPENDENCE, MO 64057-2301
(913) 222-9779
(816) 312-4380
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
2008031398
MO
Other
Enumeration date
04/11/2006
Last updated
05/30/2024
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