Individual provider · Type 1 NPI

Elene Shavgulidze, MD

Student in an Organized Health Care Education/Training Program · Hartford, CT

NPI number 1487549309 Active · reactivated Jul 28, 2026

Practice location

1000 Asylum Avenue, Suite 1004, St Francis Hospital Gengras Clinic Suite 1004
Hartford, CT 06105

Call (860) 714-4532 Map

Mailing address

263 Farmington Ave
Farmington, CT 06030-1921

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Other student in an organized health care education/training program providers in Hartford

See all in Hartford →

About NPI 1487549309

Elene Shavgulidze, MD's National Provider Identifier is 1487549309, issued on Jun 11, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hartford, CT. The record was last updated on Jul 29, 2026.