person
Avtandil Kochiashvili
Student in an Organized Health Care Education/Training Program in Hartford, Connecticut
NPI 1952040354

Avtandil Kochiashvili is a Student in an Organized Health Care Education/Training Program based in Hartford, CT. Avtandil Kochiashvili practices in Hartford, CT. The NPI Number for Avtandil Kochiashvili is 1952040354 and holds a License No. (Connecticut).

The current practice location address for Avtandil Kochiashvili is Gengras Clinic At St Francis Hospital, Hartford, CT and can be reached out via phone at 860-714-4532 and via fax at 860-714-8275.

Location: Gengras Clinic At St Francis Hospital, Hartford, CT, 06105
person
Provider Profile Details
NPI Number
1952040354
Provider Name
Avtandil Kochiashvili
Credential
Provider Entity Type
Individual
Gender
Male
Address
Gengras Clinic At St Francis Hospital, Hartford, CT, 06105
Phone Number
860-714-4532
Fax Number
860-714-8275
Provider Enumeration Date
06/02/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
Gengras Clinic At St Francis Hospital
City
State
Zip
06105
Phone Number
860-714-4532
Fax Number
860-714-8275
person
Provider Business Mailing Address Details
Address
Gengras Clinic At St Francis Hospital
City
State
Zip
06105
Phone Number
860-714-4532
Fax Number
860-714-8275
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
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.
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