Individual
DR. VAKHTANG TCHANTCHALEISHVILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 WALNUT ST STE 500, PHILADELPHIA, PA 19107-5563
(215) 955-6750
(215) 823-8222
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
60353
MN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD461023
PA
Other
Enumeration date
05/02/2008
Last updated
07/21/2022
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