Provider Demographics
NPI:1265117154
Name:CHILINGARASHVILI, GIORGI (MD)
Entity type:Individual
Prefix:
First Name:GIORGI
Middle Name:
Last Name:CHILINGARASHVILI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 HOLME AVENUE, DEPARTMENT OF INTERNAL MEDICINE,
Mailing Address - Street 2:NAZARETH HOSPITAL
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19152
Mailing Address - Country:US
Mailing Address - Phone:609-558-9624
Mailing Address - Fax:
Practice Address - Street 1:2601 HOLME AVENUE, DEPARTMENT OF INTERNAL MEDICINE,
Practice Address - Street 2:NAZARETH HOSPITAL
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19152
Practice Address - Country:US
Practice Address - Phone:609-558-9624
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-19
Last Update Date:2024-08-14
Deactivation Date:2024-01-25
Deactivation Code:
Reactivation Date:2024-02-01
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program