Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Teymuraz Datikashvili, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1952353161

Dr. Teymuraz Datikashvili, MD is a Physical Medicine and Rehabilitation in Forest Hills, New York. Qualified in 1972, 54 years ago. Accepts Medicare assignment. Licensed in New York.

Years since qualifying
54
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10825 63rd Ave 1st Fl
Forest Hills, NY 11375-1342
Phone: (718) 896-2011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 211676 (NY)

Record details

NPI number1952353161
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 16, 2006
Last updated in NPPESMay 19, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Also practisesPAIN MANAGEMENT
Medical schoolOTHER
Graduated 1972 (54 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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