Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. RUSUDAN MAMUTCHADZE, M.D.
DeactivatedMS. RUSUDAN MAMUTCHADZE, M.D. is a Student (Health Education/Training) healthcare provider located in NEW YORK, New York. NPI 1801532130 is deactivated in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · NEW YORK, NY
This NPI has been deactivated.
The record was deactivated on December 21, 2022.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1801532130
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 10, 2022 (0.61643835616438 yrs)
- Last Updated
- May 8, 2023
- Deactivated
- Dec 21, 2022
Practice Information
- Address
-
79-01 BROADWAY, QUEENSNEW YORK, NY, 11373Browse NY providers · Browse ZIP 11373
- Phone
- 7183342156
- Fax
- 7183342862
- Primary Specialty
-
Student (Health Education/Training)
390200000X
Other Student (Health Education/Training) Providers in NEW YORK, NY
| Name | Credential | NPI |
|---|---|---|
| PRISCILLA A WINCHESTER | MD | 1568476281 |
| MS. GENOVEVA GARCIA | BA | 1487731717 |
| DR. MEIRA DEMB | PH.D. | 1295806313 |
| RACHAEL E COOPER | — | 1831261239 |
| MICHELLE JOANNE SCALLON | MA | 1427123355 |
| DR. JOCELYNE BASTIEN | MD. | 1013084201 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.