Dr. Konstantin Dzamashvili is a Fort Myers, Florida based neurologist with 51 years of experience in Neurology. He completed his graduation in 1973. He is also affiliated with hospitals like and . He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Konstantin Dzamashvili is ME126918 for Neurology in Florida. His current practice location is 12670 Whitehall Dr, Fort Myers. Patients can reach him at 239-936-3554 or can fax him at 239-936-8993. Dr. Konstantin Dzamashvili is MD in Neurology and his NPI number (Unique professional ID assigned by NPPES) is 1174529085. Dr. Konstantin Dzamashvili specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Complete Profile:
Dr. Konstantin Dzamashvili speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Dr. Konstantin Dzamashvili
Specialization:
Neurology
Gender:
Male
Credentials:
MD
Experience:
51+ years
Medical School Attended:
Other
Graduation Year:
1973
Accepts Medicare Assignment:
Yes
Practice Address:
12670 Whitehall Dr, Fort Myers, Florida, 33907-3619
Phone:
239-936-3554
Fax:
239-936-8993
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
7517953607
Enrollment ID:
I20160812001746
NPI Number:
1174529085
NPI Enumeration Date:
24 Jun, 2005
NPI Last Update On:
18 Nov, 2016
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Konstantin Dzamashvili are as mentioned below.
License Number
Specialization
State
Status
ME126918
Neurology
Florida
Primary
036093821
Neurology
Illinois
Secondary
036093821
Vascular Neurology
Illinois
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(100012)
Fort myers, FL
Acute Care Hospital
(100244)
Cape coral, FL
Acute Care Hospital
(100220)
Fort myers, FL
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Konstantin Dzamashvili is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Florida Neurology Group P L (0840286407)
8
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Konstantin Dzamashvili such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
206147046
Other
MEDICARE PTAN (INDIVIDUAL)
CA4748
Other
MEDICARE RAILROAD (GROUP)
206147
Other
MEDICARE PTAN (GROUP)
036093821
Other
Illinois
STATE LICENSE
036093821
Medicaid
Illinois
P00904562
Other
MEDICARE RAILROAD (PROVIDER)
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Dr. Konstantin Dzamashvili 12670 Whitehall Dr, Fort Myers, Florida
Zip:
33907-3619
Phone Number:
239-936-3554
Fax Number:
239-936-8993
Patients can reach Dr. Konstantin Dzamashvili at 12670 Whitehall Dr, Fort Myers, Florida or can call to book an appointment on 239-936-3554.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.