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

Otar Koniashvili, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1316739600

Otar Koniashvili, MD is a Student in an Organized Health Care Education/Training Program in Stony Brook, New York. 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

101 Nicolls Road Hsc T-11 Rm 040
Stony Brook, NY 11794-8111
Phone: (631) 444-2020
Fax: (631) 444-2894
Show map & directions

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 number1316739600
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 21, 2025
Last updated in NPPESFebruary 26, 2026
Certification dateFebruary 26, 2026

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