Individual
LEILA GACHECHILADZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
825 NE 10TH ST STE 5B, OKLAHOMA CITY, OK 73104-5417
(405) 271-3635
(405) 271-2523
Mailing address
1200 CHILDRENS AVE FL 11, OKLAHOMA CITY, OK 73104-4637
(405) 764-8066
(405) 271-1001
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
43314
OK
2084V0102X
Vascular Neurology Physician
Primary
43314
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/21/2018
Last updated
04/16/2026
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