NIKOLOZ MAMULASHVILI
NPI 1285470807
Student in an Organized Health Care Education/Training Program in Waterbury, CT

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since July 03, 2024

160 ROBBINS ST, WATERBURY, CT 06708(203) 573-7284 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Nikoloz Mamulashvili NPPES

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

NIKOLOZ MAMULASHVILI (NPI 1285470807) is an individual student in an organized health care education/training program in Waterbury, Connecticut and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1285470807

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameNIKOLOZ MAMULASHVILI

Location Address160 ROBBINS STWaterbury, CT 06708-2652

Mailing Address64 Robbins StWaterbury, CT 06708-2613 · (203) 573-6162

Phone(203) 573-7284

Sole ProprietorNo

Enumeration DateJuly 3, 2024

NPPES CertifiedJuly 3, 2024

✔ NPI 1285470807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

160 ROBBINS ST, Waterbury, CT 06708

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