OTAR KONIASHVILI, M.D.

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1316739600

Practice Address

101 NICOLLS ROAD
HSC T-11, ROOM 040
Stony Brook, NY 11794

Phone: (631) 444-2020

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1316739600 is the National Provider Identifier for OTAR KONIASHVILI, M.D., a Student in an Organized Health Care Education/Training Program provider located in Stony Brook, NY. This NPI was enumerated on May 21, 2025.
OTAR KONIASHVILI, M.D. practices at 101 NICOLLS ROAD, HSC T-11, ROOM 040, Stony Brook, NY 11794.

Quick Facts

NPI
1316739600
Type
Individual
Enumerated
May 21, 2025
Last Updated
May 21, 2025

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