Individual
TAMTA CHKHIKVADZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
150 55TH ST, BROOKLYN, NY 11220
(908) 487-1713
Mailing address
150 55TH ST, BROOKLYN, NY 11220-2508
(718) 630-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
294565
NY
207R00000X
Internal Medicine Physician
57272
CT
207RG0100X
Gastroenterology Physician
Primary
294565
NY
Other
Enumeration date
05/01/2015
Last updated
10/24/2025
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