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NINO GUDUSHAURI MD
NPI 1235861428
Internal Medicine in Philadelphia, PA

Active since June 27, 2022
5501 OLD YORK RD STE 1, PHILADELPHIA, PA 19141(215) 456-8520 Get Directions Write a Review

NPPES record last updated: June 27, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nino Gudushauri Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NINO GUDUSHAURI MD (NPI 1235861428) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT225648) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1235861428
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameNINO GUDUSHAURICredential: MD
Location Address5501 OLD YORK RD STE 1Philadelphia, PA 19141-3098
Mailing Address5501 Old York Rd Ste 1Philadelphia, PA 19141-3098 · (215) 456-8520
Phone(215) 456-8520
Sole ProprietorNo
Enumeration DateJune 27, 2022
NPPES CertifiedJune 27, 2022
✔ NPI 1235861428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MT225648
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5501 OLD YORK RD STE 1, Philadelphia, PA 19141
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREGORY JOHNSON MD
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7890
DR. JULIE MINJU GANG DMD
Dentist (General Practice)
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7130
ALINE A IANNONI DE MORAES
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-8520
DR. BRIANA M CALDERON PARKER MD
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7890
ASHMIN SINGH
Internal Medicine
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-6629
ALEXANDER JAMES RAZIN MD
Internal Medicine
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-6500
NEETHU KANJINGAT NANDAN MBBS
Psychiatry & Neurology (Psychiatry)
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7890
EMILY ELIZABETH MESSINA
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Philadelphia County (215) 457-4444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nino Gudushauri's NPI number?

The NPI number for Nino Gudushauri is 1235861428. It was assigned to this individual provider in the NPPES registry on June 27, 2022.

Where is Nino Gudushauri located?

Nino Gudushauri practices at 5501 Old York Rd Ste 1, Philadelphia, PA 19141. The listed phone number is (215) 456-8520.

What is Nino Gudushauri's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Nino Gudushauri was last updated on June 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.