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

Ketevan Sulakvelidze

Individual provider Internal Medicine Physician · NPI 1578484689

Ketevan Sulakvelidze is an Internal Medicine Physician in Columbia, Missouri. Licensed in Missouri. Registered with an NPI since 2026.

Licensed in
MO
In the registry since
2026

Practice location Address checks out

1 Hospital Dr
Columbia, MO 65212-1000
Phone: (573) 884-1606
Fax: (573) 884-4533
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 2026032231 (MO)

Record details

NPI number1578484689
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 23, 2026
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026

Other providers in Columbia