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

Viacheslav Iremashvili, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1407115876

Viacheslav Iremashvili, MD is an Urology in Hannibal, Missouri. Qualified in 2003, 23 years ago. Practices with Hannibal Regional Healthcare System Inc, a 259-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri and Wisconsin.

Years since qualifying
23
Licensed in
MO, WI
In the registry since
2012
Specialties on file
3
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

6500 Hospital Dr
Hannibal, MO 63401-6890
Phone: (573) 629-3500
Fax: (573) 629-3515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 2021043051 (MO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Urology Physician Taxonomy 208800000X · Licence 67519 (WI)

Record details

NPI number1407115876
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 4, 2012
Last updated in NPPESJanuary 19, 2022
Certification dateJanuary 19, 2022

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Hannibal Regional Healthcare System Inc — 259 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Hannibal