Individual provider · Type 1 NPI

Teah Qvavadze, MD

Vascular Surgery Physician · Springfield, IL

NPI number 1033523501 Active

Practice location

747 N Rutledge St Fl 4
Springfield, IL 62702-6700

Call (217) 545-8000 Map

Fax (217) 545-1622

Mailing address

PO Box 19639
Springfield, IL 62794-9639

Other practice locations

  • 302 W Hay St Ste 140, Decatur, IL 62526-4168 · (217) 872-2713

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000XMT207459 (PA)
Surgery Physician 208600000X036.166578 (IL)
Vascular Surgery Physician Primary 2086S0129X036.166578 (IL)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

23 other providers at this address

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About NPI 1033523501

Teah Qvavadze, MD's National Provider Identifier is 1033523501, issued on Jun 12, 2014. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Springfield, IL. The record was last updated on Sep 24, 2024.