Active NPI
Tamara Kharazishvili
- Student in an Organized Health Care Education/Training Program
- Forest Hills, NY
National Provider Identifier
1275924532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 10849 63Rd Ave
Apt 1B
Forest Hills, NY 11375-1358 - Phone
- (646) 684-9834
- NPI assigned
- Feb 9, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
10849 63Rd Ave
Apt 1B
Forest Hills, NY 11375-1358
Mailing address
10849 63Rd Ave
Apt 1B
Forest Hills, NY 11375-1358
Phone (646) 684-9834
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423440000000",
"number": "1275924532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10849 63RD AVE",
"address_2": "APT 1B",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113751358",
"telephone_number": "646-684-9834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10849 63RD AVE",
"address_2": "APT 1B",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113751358",
"telephone_number": "646-684-9834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHARAZISHVILI",
"first_name": "TAMARA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-09",
"last_updated": "2015-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.