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Contact Information

ZAZA GODZIASHVILI, MD
2010 15TH STREET
BAY CITY, MI48708
 Phone: 989-894-5621
 Fax: 989-893-3528
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for ZAZA GODZIASHVILI · (Male)

NPI # 1215936208
Status Active
Credentials MD
Entity Individual
Enumeration date 07/20/2005
Last updated 06/08/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 73175
  • MA License # 220270
  • MI License # 4301075665
  • MA Medicaid 2102625
  • MI Other 1215936208 NPI
Hospital affiliation(s)
  • MECOSTA COUNTY MEDICAL CENTER - (Acute Care)
    605 OAK STREET
    BIG RAPIDS, MI 49307
  • OAKWOOD SOUTHSHORE MEDICAL CENTER - (Acute Care)
    5450 FORT STREET
    TRENTON, MI 48183
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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