Individual
TAMAR GUBELADZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
ONE HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-9072
(573) 884-4892
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2021021624
MO
207RP1001X
Pulmonary Disease Physician
Primary
2021021624
MO
208M00000X
Hospitalist Physician
2021021624
MO
Other
Enumeration date
06/24/2018
Last updated
07/10/2025
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