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

SHALVA V KAKABADZE, MD

Active

SHALVA V KAKABADZE, MD is a Family Medicine healthcare provider located in REYNOLDSVILLE, Pennsylvania. NPI 1962465427 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · REYNOLDSVILLE, PA

Registration Details

NPI Number
1962465427
Provider Type
Individual
Gender
Male
NPI Issued
Apr 7, 2006 (20.353734134938 yrs)
Last Updated
Jun 10, 2011
Licenses
35079515 (OH)
MD442814 (PA)

Practice Information

Address
5 N 3RD ST
REYNOLDSVILLE, PA, 158510907
Browse PA providers · Browse ZIP 15851
Phone
8146538222
Fax
8146539305
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in REYNOLDSVILLE, PA

Name Credential NPI
JENNIFER WINEBERG ZEITLER MD 1124042270
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.