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

Nika Tavberidze

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1598348567

Nika Tavberidze is a Student in an Organized Health Care Education/Training Program in Madison, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2021.

Licensed in
WI
In the registry since
2021
Specialties on file
2

Practice location Address checks out

600 Highland Ave
Madison, WI 53792-1465
Phone: (608) 263-8443
Fax: (608) 262-7174
Show map & directions

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

Specialties & licences

Clinical Pathology/Laboratory Medicine Physician (primary) Taxonomy 207ZP0105X · Licence 81986-20 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1598348567
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 28, 2021
Last updated in NPPESJune 14, 2024
Certification dateJune 14, 2024
Mailing address7974 Uw Health Ct, Middleton, WI 53562-5531

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