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Search › Indiana › 207P00000X

Otar Datiashvili, MD

NPI 1083096572 · on the registry since 2015 · sole proprietor

Practice

Address
2651 E Discovery Pkwy
Bloomington, IN 47408
Phone
(812) 353-9515
Fax
(812) 353-9275
Organisation at this address
Iu Health
Southern Indiana Pathologists
Bloomington Anesthesiologists Pc
Indiana University Health Bloomington Inc
Indiana University Health Bloomington Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
190

Additional practice sites

  • 60 Roberts Dr Ste 313, North Adams, MA

Registry record

Primary taxonomy
207P00000X
207P00000X
Also registered as
207P00000X
Licence states on file
IN, NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-03-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana