Individual provider · Type 1 NPI

Otar Datiashvili, MD

Emergency Medicine Physician · Bloomington, IN

NPI number 1083096572 Active

Practice location

2651 E Discovery Pkwy
Bloomington, IN 47408-9059

Call (812) 353-9515 Map

Fax (812) 353-9275

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice locations

  • 60 Roberts Dr Ste 313, North Adams, MA 01247-3254 · (413) 398-5509

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician Primary 207P00000X01093706A (IN)
Emergency Medicine Physician 207P00000X273598-1 (NY)

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

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About NPI 1083096572

Otar Datiashvili, MD's National Provider Identifier is 1083096572, issued on Jun 22, 2015. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Bloomington, IN. The record was last updated on Mar 5, 2025.