Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

KETEVAN SULAKVELIDZE
NPI 1578484689
Internal Medicine in Columbia, MO

Active since July 23, 2026
1 HOSPITAL DR, COLUMBIA, MO 65212(573) 884-1606(573) 884-4533 Get Directions Write a Review

NPPES record added: July 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ketevan Sulakvelidze NPPES

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

KETEVAN SULAKVELIDZE (NPI 1578484689) is an individual internal medicine provider in Columbia, Missouri, licensed in Missouri (2026032231) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1578484689
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKETEVAN SULAKVELIDZE
Location Address1 HOSPITAL DRColumbia, MO 65212-1000
Mailing Address1 Hospital DrColumbia, MO 65212-1000 · (573) 884-1606 · Fax (573) 884-4533
Fax(573) 884-4533
Sole ProprietorNo
Enumeration DateJuly 23, 2026
NPPES CertifiedJuly 23, 2026
NPI 1578484689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MO · 2026032231
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.

1 HOSPITAL DR, Columbia, MO 65212

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.

Internal Medicine (Clinical Cardiac Electrophysiology)
1 HOSPITAL DR
COLUMBIA, MO 65212
Internal Medicine (Hematology & Oncology)
1 HOSPITAL DR
COLUMBIA, MO 65212
Emergency Medicine
1 HOSPITAL DR
COLUMBIA, MO 65212
Anesthesiology
1 HOSPITAL DR
COLUMBIA, MO 65212
Physician Assistant
1 HOSPITAL DR
COLUMBIA, MO 65212
Orthopaedic Surgery (Orthopaedic Trauma)
1 HOSPITAL DR
COLUMBIA, MO 65212
Psychiatry & Neurology (Neurology)
1 HOSPITAL DR
COLUMBIA, MO 65212
Anesthesiology
1 HOSPITAL DR, DC056.20
COLUMBIA, MO 65212

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 Ketevan Sulakvelidze's NPI number?

The NPI number for Ketevan Sulakvelidze is 1578484689. It was assigned to this individual provider in the NPPES registry on July 23, 2026.

Where is Ketevan Sulakvelidze located?

Ketevan Sulakvelidze practices at 1 Hospital Dr, Columbia, MO 65212. The listed phone number is (573) 884-1606.

What is Ketevan Sulakvelidze'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 Ketevan Sulakvelidze was last updated on July 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.