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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SHOTA GURCHUMELIDZE, M.D.

Active

DR. SHOTA GURCHUMELIDZE, M.D. is a Internal Medicine healthcare provider located in LA MESA, California. NPI 1821284449 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · LA MESA, CA

Registration Details

NPI Number
1821284449
Provider Type
Individual
Gender
Male
NPI Issued
Sep 18, 2007 (18.921195733447 yrs)
Last Updated
Feb 1, 2018
License
A-101612 (CA)

Practice Information

Address
8875 LA MESA BLVD STE C
LA MESA, CA, 919425434
Browse CA providers · Browse ZIP 91942
Phone
6196688100
Fax
6196672688
Primary Specialty
Internal Medicine
207R00000X

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DR. ROBERT W FOSTER MD 1871593756
MR. HAU HIEN TAN M.D. 1912907726
DR. ELLYN LEVINE M.D. 1760470546
STEPHEN LEE REITMAN MD 1508836594
KHALIL A SOOMRO MD 1265409296
DR. JOHN W. FOX JR. M.D. 1316901408
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.