Konstantin Dateshidze, MD in Browns Mills, NJ

Konstantin Dateshidze, MD is a Anesthesiology physician based in Browns Mills, New Jersey. Konstantin Dateshidze is licensed to practice in New Jersey (license number 25MA04546400) and his current practice location is 200 Trenton Rd, Browns Mills, New Jersey. He can be reached at his office (for appointments etc.) via phone at (609) 893-1200.

NPI number for Konstantin Dateshidze is 1104873827 and his current mailing address is 200 Trenton Rd, Browns Mills, New Jersey. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104873827.

Contact Information

	Konstantin Dateshidze, MD
	200 Trenton Rd, Browns Mills, NJ 08015-1705
	(609) 893-1200
	(609) 893-1213

Map and Direction

Physician's Profile

Full Name	Konstantin Dateshidze
Gender	Male
Speciality	Anesthesiology
Location	200 Trenton Rd, Browns Mills, New Jersey
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1104873827
Provider Enumeration Date: 05/28/2006
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Konstantin Dateshidze such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104873827	NPI	-	NPPES
0917907	Medicaid	NJ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	25MA04546400 (New Jersey)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Konstantin Dateshidze is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Konstantin Dateshidze, MD 200 Trenton Rd, Browns Mills, NJ 08015-1705 Ph: (609) 893-1200	Konstantin Dateshidze, MD 200 Trenton Rd, Browns Mills, NJ 08015-1705 Ph: (609) 893-1200

Reviews and Comments

Anesthesiology Doctors in Browns Mills, NJ

Michael Neary, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 200 Trenton Rd, Browns Mills, NJ 08015 Phone: 609-893-1200 Fax: 609-893-1213
Matthew Scott Sheedy, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 200 Trenton Rd, Browns Mills, NJ 08015 Phone: 609-893-6611 Fax: 609-732-0175
Arachelle Jose, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 200 Trenton Rd, Browns Mills, NJ 08015 Phone: 609-893-1200 Fax: 609-893-1213

Konstantin Dateshidze, MD - Anesthesiology in Browns Mills, NJ