Dr TEYMURAZ DATIKASHVILI MD is a male medical professional, specializing in Physical Medicine And Rehabilitation. He graduated in 1972.
9617 ASTORIA BLVD
EAST ELMHURST
NY
113691815
Tel:
| Npi | 1952353161 |
| Pac Id | 2769471689 |
| Professional Enrollment Id | I20040601001278 |
| Last Name | DATIKASHVILI |
| First Name | TEYMURAZ |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | OTHER |
| Graduation Year | 1972 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Secondary Specialty 1 | PAIN MANAGEMENT |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | PAIN MANAGEMENT |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 9617 ASTORIA BLVD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | EAST ELMHURST |
| State | NY |
| Zip Code | 113691815 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 330214 |
| Hospital Affiliation Lbn 1 | NEW YORK UNIVERSITY LANGONE MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.