SHOTA GURCHUMELIDZE MD
Provider Details
Provider Type
Primary Care Provider
Practice Name(s)
Shota Gurchumelidze dba Shota Gurtch MD Inc Professional Corporation
Gender
Male
NPI
1821284449
License #
A101612
License Type
State Medical License
Non-English Languages
None
Residency
None
Medical School
None
Specialty
Internal Medicine
Board Certification
None
Age Restrictions
None
Hospital Affiliation
Location(s)
Office #1
Fax
(619) 667-2688
-
Address
8875 La Mesa Blvd Ste C
La Mesa, CA
919425434
Office Hours
Handicap Access
(Please call Member Services to Verify)
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Health Plan Affiliations
Health Plan Name | Plan Type | Medical Group | Provider Type | Health Plan ID | Accepting Patients? | Address |
---|---|---|---|---|---|---|
Aetna | Commercial | Mercy Physicians Medical Group, Inc | PCP | 872463 | Accepting New Patients | 8875 La Mesa Blvd Ste C, La Mesa, CA 919425434 |
Aetna | Duals - Medicare/Medicaid | Mercy Physicians Medical Group, Inc | PCP | 872463 | Accepting New Patients | 8875 La Mesa Blvd Ste C, La Mesa, CA 919425434 |
Aetna | Medicare | Mercy Physicians Medical Group, Inc | PCP | 872463 | Accepting New Patients | 8875 La Mesa Blvd Ste C, La Mesa, CA 919425434 |
Anthem Blue Cross | Medicare | Mercy Physicians Medical Group, Inc | PCP | 9121144375 | Accepting New Patients | 8875 La Mesa Blvd Ste C, La Mesa, CA 919425434 |
HealthNet | Commercial | Mercy Physicians Medical Group, Inc | PCP | 872463 | Accepting New Patients | 8875 La Mesa Blvd Ste C, La Mesa, CA 919425434 |
HealthNet | Commercial | Mercy Physicians Medical Group, Inc | PCP | 9121144375 | Accepting New Patients | 8875 La Mesa Blvd Ste C, La Mesa, CA 919425434 |
HealthNet | Duals - Medicare/Medicaid | Mercy Physicians Medical Group, Inc | PCP | 1014144375 | Accepting New Patients | 8875 La Mesa Blvd Ste C, La Mesa, CA 919425434 |
HealthNet | Medicare | Mercy Physicians Medical Group, Inc | PCP | 1014144375 | Accepting New Patients | 8875 La Mesa Blvd Ste C, La Mesa, CA 919425434 |