Active NPIIndividual providerSole proprietor

Dr. Eka Davitachvili, DPM

Podiatrist, Foot & Ankle Surgery in Brooklyn, New York

NPI Number1376797894
Practice location
1705 E 17TH St Lowr Level, Brooklyn, NY 11229-2645
Fax
—
Last updated
November 2, 2023

Eka Davitachvili is a Podiatrist, Foot & Ankle Surgery based in Brooklyn, NY. Eka Davitachvili practices in Brooklyn, NY and has the professional credentials of DPM. The NPI Number for Eka Davitachvili is 1376797894 and holds a License No. N006252 (NY). The current practice location address for Eka Davitachvili is 1705 E 17TH St Lowr Level, Brooklyn, NY 11229-2645 and can be reached out via phone at 917-399-0361.

Provider Profile Details

NPI Number
1376797894
Provider Name
Eka Davitachvili
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
1705 E 17TH St Lowr Level, Brooklyn, NY 11229-2645
Phone Number
917-399-0361
Primary Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X
Sole Proprietor
Yes
Provider Enumeration Date
November 11, 2008
Last Update Date
November 2, 2023
Certification Date
November 2, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1705 E 17TH St Lowr Level
Brooklyn, NY 11229-2645
Zip
11229-2645
Phone Number
917-399-0361
Brooklyn, NY 11229Get directions →

Provider Business Mailing Address Details

Address
71 Orchard St
Midland Park, NJ 07432-1521
City
Midland Park
State
NJ
Zip
07432-1521
Phone Number
917-399-0361

License Information

License Number
N006252
License State
NY
Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Eka Davitachvili, DPM?

The NPI number of Dr. Eka Davitachvili, DPM is 1376797894. It was assigned on November 11, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Eka Davitachvili, DPM?

Dr. Eka Davitachvili, DPM is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X), licensed in NY under license number N006252.

Where does Dr. Eka Davitachvili, DPM practice?

The practice location is 1705 E 17TH St Lowr Level, Brooklyn, NY 11229-2645. The office can be reached at 917-399-0361 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1376797894 directly on the NPPES registry website.

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