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OTAR DATIASHVILI, MD
MD
Emergency Medicine Physician
NPI: 1083096572IndividualAccepts Medicare
Specialties, Licenses & Credentials
Emergency Medicine PhysicianPrimary
Emergency Medicine
Code: 207P00000X
01093706A(IN)273598-1(NY)
CMS Specialties
PrimaryEMERGENCY MEDICINE
Education
STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Class of 2008
Contact & Hours
Via practice · 2 locations total
- Address
- 2651 E DISCOVERY PKWY
BLOOMINGTON, IN 47408 - Phone
- (812) 353-9515
Quick Facts
- NPI
- 1083096572
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 2
- Years in Practice
- 18
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