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

Nickoloz Tchankoshvili, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1699088625

Nickoloz Tchankoshvili, MD is a Student in an Organized Health Care Education/Training Program in Leesburg, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
Specialties on file
2
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

1414 E Main St
Leesburg, FL 34748-5399
Phone: (352) 728-3898
Fax: (352) 728-6240
Show map & directions

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

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence ME120378 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1699088625
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 19, 2010
Last updated in NPPESDecember 4, 2018
Mailing addressPo Box 44008, Jacksonville, FL 32231-4008

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