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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1083407688

Ketevani Khetsuriani, MD is a Student in an Organized Health Care Education/Training Program in Waterbury, Connecticut. Registered with an NPI since 2025.

In the registry since
2025
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

64 Robbins Street Waterbury Hospital
Waterbury, CT 06708
Phone: (203) 573-6162
Fax: (203) 573-6707
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1083407688
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 27, 2025
Last updated in NPPESSeptember 12, 2025
Certification dateSeptember 12, 2025

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