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

Individual provider Family Medicine Physician · NPI 1962465427

Shalva V Kakabadze, MD is a Family Practice in Reynoldsville, Pennsylvania. Qualified in 1994, 32 years ago. Practices with Phoenix Rehabilitation and Health Services Inc, a 2,720-clinician group and accepts Medicare assignment. Licensed in Ohio and Pennsylvania.

Years since qualifying
32
Licensed in
OH, PA
In the registry since
2006
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

5 N 3rd St
Reynoldsville, PA 15851-0907
Phone: (814) 653-8222
Fax: (814) 653-9305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD442814 (PA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 35079515 (OH)

Record details

NPI number1962465427
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 7, 2006
Last updated in NPPESJune 10, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Phoenix Rehabilitation And Health Services Inc — 2720 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Reynoldsville