Individual
VASIL TSISKARISHVILI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
902 MUSTOE CT, CHESAPEAKE, VA 23322-4019
(757) 675-0124
Mailing address
902 MUSTOE CT, CHESAPEAKE, VA 23322-4019
(757) 675-0124
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101247036
VA
208M00000X
Hospitalist Physician
0101247036
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-611-693-3
ECFMG
—
Enumeration date
06/11/2006
Last updated
03/11/2024
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