Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARIAM H BOKOLISHVILI, S.A.
Active Sole ProprietorMARIAM H BOKOLISHVILI, S.A. is a Surgical Physician Assistant healthcare provider located in SANTA FE, New Mexico. NPI 1225564800 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · SANTA FE, NM
Registration Details
- NPI Number
- 1225564800
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 3, 2017 (9.305210130484 yrs)
- Last Updated
- May 9, 2018
- Licenses
-
15-48915-489
- Sole Proprietor
- Yes
Practice Information
- Address
-
1511 W ALAMEDA STSANTA FE, NM, 875011746Browse NM providers · Browse ZIP 87501
- Phone
- 5054593988
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in SANTA FE, NM
| Name | Credential | NPI |
|---|---|---|
| SUSAN DIANE EARLS | PA-C | 1477613891 |
| WALTER BARNEY | SURGICAL ASSISTANT | 1699272633 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.