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

Otar Michael Taktakishvili, MD

Individual provider Emergency Medicine Physician · NPI 1346407129

Otar Michael Taktakishvili, MD is an Emergency Medicine Physician in Mineola, New York. Licensed in Connecticut and New York. Registered with an NPI since 2008.

Licensed in
CT, NY
In the registry since
2008
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

259 1st St Emergency Dept
Mineola, NY 11501-3957
Phone: (516) 663-2727
Fax: (516) 663-2727
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 054323 (CT)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 260699 (NY)

Record details

NPI number1346407129
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 20, 2008
Last updated in NPPESAugust 19, 2015

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