VLADIMER BAKHUTASHVILI

MORGANTOWN, WV
NPI1851895080
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism
(Licence: NJ  25MA11938600)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-03-21
Last Update Date2023-07-13
Business Address
VLADIMER BAKHUTASHVILI MD
101 STADIUM DR
MORGANTOWN, WV 26506-7911
Phone number: 304-598-4850
Mailing Address
VLADIMER BAKHUTASHVILI MD
101 STADIUM DR
MORGANTOWN, WV 26506-7911
Phone number: 304-598-4850