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OTAR KONIASHVILI M.D.
NPI 1316739600
Student in an Organized Health Care Education/Training Program in Stony Brook, NY

Active since May 21, 2025
101 NICOLLS ROAD, HSC T-11, ROOM 040, STONY BROOK, NY 11794(631) 444-2020(631) 444-2894 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Otar Koniashvili M.d. NPPES

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

OTAR KONIASHVILI M.D. (NPI 1316739600) is an individual student in an organized health care education/training program in Stony Brook, New York and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1316739600
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameOTAR KONIASHVILICredential: M.D.
Location Address101 NICOLLS ROAD, HSC T-11, ROOM 040Stony Brook, NY 11794-8111
Mailing Address101 Nicolls Road, Hsc T-11, Room 040Stony Brook, NY 11794-8111 · (631) 444-2020 · Fax (631) 444-2894
Phone(631) 444-2020
Fax(631) 444-2894
Sole ProprietorNo
Enumeration DateMay 21, 2025
Last NPPES UpdateFebruary 26, 2026
NPPES CertifiedFebruary 26, 2026
✔ NPI 1316739600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
101 NICOLLS ROAD, Stony Brook, NY 11794
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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.

MUZAMMIL KHAN MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
101 NICOLLS ROAD, HSC T16-020
STONY BROOK, NY 11794
Suffolk County (631) 444-8478
JUSTIN ALEXANDER BELL MD
Anesthesiology
101 NICOLLS ROAD, DEPARTMENT OF ANESTHESIOLOGY, HSC LEVEL 4, ROOM 060
STONY BROOK, NY 11794
Suffolk County (631) 444-2975
PHILLIP YEUN
Student in an Organized Health Care Education/Training Program
101 NICOLLS ROAD, HEALTH SCIENCE CENTER T16, ROOM 020
STONY BROOK, NY 11794
Suffolk County (631) 444-7411
PRIYANKA RAMACHANDRA MD
Student in an Organized Health Care Education/Training Program
101 NICOLLS ROAD, DEPARTMENT OF SURGERY, HSC T-19, 030
STONY BROOK, NY 11794
Suffolk County (631) 444-1791
DR. GABRIELLA NICOLE PINHO M.D.
Obstetrics & Gynecology
101 NICOLLS ROAD, HSC 9, ROOM 020
MOUNT SINDAI, NY 11794
Suffolk County (631) 444-3987
DR. BAHAA E DAOUD MD
Anesthesiology
101 NICOLLS ROAD, HSC LEVEL 4 ROOM 60
STONY BROOK, NY 11794
Suffolk County (631) 444-2078
DR. ALLISON PERNICE MD
Student in an Organized Health Care Education/Training Program
101 NICOLLS ROAD, DEPARTMENT OF SURGERY, HSC T-19, 030
STONY BROOK, NY 11794
Suffolk County (631) 444-1791
DR. DAWEI WU DO
Student in an Organized Health Care Education/Training Program
101 NICOLLS ROAD, HEALTH SCIENCES CENTER LEVEL 4, ROOM 176
STONY BROOK, NY 11794
Suffolk County (631) 638-8517

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 Otar Koniashvili's NPI number?

The NPI number for Otar Koniashvili is 1316739600. It was assigned to this individual provider in the NPPES registry on May 21, 2025.

Where is Otar Koniashvili located?

Otar Koniashvili practices at 101 Nicolls Road Hsc T-11, Room 040, Stony Brook, NY 11794. The listed phone number is (631) 444-2020.

What is Otar Koniashvili's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Otar Koniashvili was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.