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Individual

DR. GEORGI MIKELADZE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4141 GEARY BLVD FL 2, CHRONIC PAIN MANAGEMENT, SAN FRANCISCO, CA 94118-3109
(415) 833-4621
(415) 833-4414
Mailing address
4141 GEARY BLVD FL 2, CHRONIC PAIN MANAGEMENT, SAN FRANCISCO, CA 94118-3109
(415) 833-4621
(415) 833-4414

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
0101225204
VA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
C52562
CA

Other

Enumeration date
07/13/2006
Last updated
12/09/2021
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