Dr Georgi Mikeladze, MD | |
4141 Geary Blvd Fl 2, Chronic Pain Management, San Francisco, CA 94118-3109 | |
(415) 833-4621 | |
(415) 833-4414 |
Full Name | Dr Georgi Mikeladze |
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Gender | Male |
Speciality | Physical Medicine & Rehabilitation - Pain Medicine |
Location | 4141 Geary Blvd Fl 2, San Francisco, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1659397917 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 0101225204 (Virginia) | Secondary |
2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | C52562 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Dr Georgi Mikeladze, MD 4141 Geary Blvd Fl 2, Chronic Pain Management, San Francisco, CA 94118-3109 Ph: (415) 833-4621 | Dr Georgi Mikeladze, MD 4141 Geary Blvd Fl 2, Chronic Pain Management, San Francisco, CA 94118-3109 Ph: (415) 833-4621 |
Samantha Rose Kaufman, PT, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 505 Parnassus Ave, San Francisco, CA 94143 Phone: 415-760-1000 | |
Dr. Mark Ivan Ignatius, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3838 California St Rm 715, San Francisco, CA 94118 Phone: 415-668-8010 Fax: 415-592-2560 | |
Susana Mae Robles, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1668 Great Hwy, San Francisco, CA 94122 Phone: 619-701-1413 | |
Dr. Rana Rand, D.O. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2041 Polk St Ste E, San Francisco, CA 94109 Phone: 415-484-9070 | |
Robert D. Sine, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2250 Hayes St, San Francisco, CA 94117 Phone: 415-750-5761 Fax: 415-666-0210 | |
Dr. Benjamin C.k. Lau, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 4306 Geary Blvd, Ste. 201, San Francisco, CA 94118 Phone: 415-876-6400 Fax: 415-876-6402 | |
Scott A Rome, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 45 Castro St, Suite 200, San Francisco, CA 94114 Phone: 415-600-7710 |