MARIAM H BOKOLISHVILI S.A.
NPI 1225564800
Physician Assistant - Surgical in Santa Fe, NM

Q: What is Mariam Bokolishvili's NPI number?

The NPI number for Mariam Bokolishvili is 1225564800. It was assigned to this individual provider in the NPPES registry on May 3, 2017. The provider is also known as Mariam Bokolishvili M.D., S.A..

Q: What is Mariam Bokolishvili's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Active since May 03, 2017

1511 W ALAMEDA ST, SANTA FE, NM 87501(505) 459-3988 Get Directions Write a Review

NPPES record last updated: May 9, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mariam H Bokolishvili S.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIAM H BOKOLISHVILI S.A. (NPI 1225564800) is an individual surgical provider in Santa Fe, New Mexico, licensed in (15-489) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1225564800

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameMARIAM H BOKOLISHVILICredential: S.A.

Location Address1511 W ALAMEDA STSanta Fe, NM 87501-1746

Mailing Address1511 W Alameda StSanta Fe, NM 87501-1746 · (505) 459-3988

Phone(505) 459-3988

Sole ProprietorYes

Enumeration DateMay 3, 2017

Last NPPES UpdateMay 9, 2018

✔ NPI 1225564800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed · 15-489

Also ListedSpecialist/Technologist, Other · Surgical AssistantTaxonomy 246ZC0007X · License 15-489

1511 W ALAMEDA ST, Santa Fe, NM 87501

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Other Names 1

Other Name (5)Mariam Bokolishvili M.d., S.a.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mariam Bokolishvili's NPI number?

The NPI number for Mariam Bokolishvili is 1225564800. It was assigned to this individual provider in the NPPES registry on May 3, 2017. The provider is also known as Mariam Bokolishvili M.D., S.A..

Where is Mariam Bokolishvili located?

Mariam Bokolishvili practices at 1511 W Alameda St, Santa Fe, NM 87501. The listed phone number is (505) 459-3988.

What is Mariam Bokolishvili's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Mariam Bokolishvili was last updated on May 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.