Individual
DR. GOCHA SALIASHVILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3515 W MARKET ST STE 110, GREENSBORO, NC 27403-4439
(336) 660-5220
(336) 660-5229
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 660-5220
(336) 660-5229
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
2020-00629
NC
207RC0000X
Cardiovascular Disease Physician
28859
AL
207RC0000X
Cardiovascular Disease Physician
795762
NC
207RC0000X
Cardiovascular Disease Physician
BP1-0022068
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101885
—
AL
05
—
113044
—
AL
05
—
113045
—
AL
05
—
113046
—
AL
05
—
113048
—
AL
05
—
113049
—
AL
05
—
113052
—
AL
01
—
2738776803
MYUTMB 2738776803-COMMERCIAL NUMBER
—
01
—
510-49290
BCBS
AL
01
—
510-49291
BCBS
AL
01
—
510-49292
BCBS
AL
01
—
510-49696
BCBS
AL
01
—
515-49269
BCBS
AL
01
—
515-98750
BCBS
AL
01
—
515-99686
BCBS
AL
01
—
9938122
AETNA
—
01
—
P00657349
RAILROAD MEDICARE
—
01
—
P00770083
RAILROAD MEDICARE
AL
01
—
Z01485
VIVA HEALTH
—
Enumeration date
06/14/2007
Last updated
04/05/2023
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