1. Home
  2. Directory
  3. Massachusetts
  4. Brookline
  5. Surgery
  6. NPI Profile

MAMUKA GVENTSADZE
NPI 1841003589
Surgery in Brookline, MA

Active since January 28, 2025
6 PARKWAY RD, BROOKLINE, MA 02445(617) 416-4203 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mamuka Gventsadze NPPES

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

MAMUKA GVENTSADZE (NPI 1841003589) is an individual surgery provider in Brookline, Massachusetts, licensed in Massachusetts (3017581) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1841003589
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMAMUKA GVENTSADZE
Location Address6 PARKWAY RDBrookline, MA 02445-5463
Mailing Address6 Parkway RdBrookline, MA 02445-5463 · (617) 416-4203
Phone(617) 416-4203
Sole ProprietorNo
Enumeration DateJanuary 28, 2025
NPPES CertifiedJanuary 28, 2025
✔ NPI 1841003589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MA · 3017581
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
6 PARKWAY RD, Brookline, MA 02445
Open in Google Maps ↗

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 Mamuka Gventsadze's NPI number?

The NPI number for Mamuka Gventsadze is 1841003589. It was assigned to this individual provider in the NPPES registry on January 28, 2025.

Where is Mamuka Gventsadze located?

Mamuka Gventsadze practices at 6 Parkway Rd, Brookline, MA 02445. The listed phone number is (617) 416-4203.

What is Mamuka Gventsadze's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Mamuka Gventsadze was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.