O'Connell, Tinatin Khizanishvili

O'Connell, Tinatin Khizanishvili is an individual health care provider with primary practice located at 8640 Sudley Rd Ste 201 , Manassas VA 20110-4404. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. O'Connell, Tinatin Khizanishvili can be contacted via phone (703) 368-6819.

Contact Information

Primary practice address
8640 Sudley Rd Ste 201 Manassas VA 20110-4404
Phone: (703) 368-6819
Fax: (703) 330-2923
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 0101251722 Virginia

Profile Details

NPI number 1720253503
LBN Legal business name O'Connell, Tinatin Khizanishvili
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2008
Last updated Feb 13th, 2026 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720253503 NPPES
Virginia MEDICAID 1720253503

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