location
search-icon
person
Nickoloz Tchankoshvili, MD
Obstetrics & Gynecology Physician in Leesburg, Florida
NPI 1699088625

Nickoloz Tchankoshvili is a Obstetrics & Gynecology Physician based in Jacksonville, FL. Nickoloz Tchankoshvili practices in Leesburg, FL and has the professional credentials of MD. The NPI Number for Nickoloz Tchankoshvili is 1699088625 and holds a License No. (Florida).

The current practice location address for Nickoloz Tchankoshvili is 1414 E Main St, Leesburg, FL and can be reached out via phone at 352-728-3898 and via fax at 352-728-6240.

Location: 1414 E Main St, Leesburg, FL, 32231-4008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699088625
Provider Name
Nickoloz Tchankoshvili
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1414 E Main St, Leesburg, FL, 32231-4008
Phone Number
352-728-3898
Fax Number
352-728-6240
Provider Enumeration Date
07/19/2010
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
003150531A 05 GA
012796400 05 FL
institution
Provider Business Practice Location Address Details
Address
1414 E Main St
City
Leesburg
State
Florida
Zip
34748-5399
Phone Number
352-728-3898
Fax Number
352-728-6240
person
Provider Business Mailing Address Details
Address
1414 E Main St
City
Leesburg
State
Florida
Zip
34748-5399
Phone Number
352-728-3898
Fax Number
352-728-6240
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
ME120378 (Florida)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.