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MR. GIORGI MAMARDASHVILI M.D.
NPI 1669315669
Student in an Organized Health Care Education/Training Program in Stoney Brook, NY

Active since April 13, 2026
101 NICOLLS ROAD, HSCT11-40, STONEY BROOK, NY 11794(631) 444-2020(631) 444-2894 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Giorgi Mamardashvili M.d. NPPES

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

MR. GIORGI MAMARDASHVILI M.D. (NPI 1669315669) is an individual student in an organized health care education/training program in Stoney Brook, New York and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1669315669
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. GIORGI MAMARDASHVILICredential: M.D.
Location Address101 NICOLLS ROAD, HSCT11-40Stoney Brook, NY 11794-8111
Mailing Address101 Nicolls Road, Hsct11-40Stoney Brook, NY 11794-8111 · (631) 444-2020 · Fax (631) 444-2894
Phone(631) 444-2020
Fax(631) 444-2894
Sole ProprietorNo
Enumeration DateApril 13, 2026
✔ NPI 1669315669 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.
101 NICOLLS ROAD, Stoney Brook, NY 11794
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MUZAMMIL KHAN MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
101 NICOLLS ROAD, HSC T16-020
STONY BROOK, NY 11794
Suffolk County (631) 444-8478
JUSTIN ALEXANDER BELL MD
Anesthesiology
101 NICOLLS ROAD, DEPARTMENT OF ANESTHESIOLOGY, HSC LEVEL 4, ROOM 060
STONY BROOK, NY 11794
Suffolk County (631) 444-2975
PHILLIP YEUN
Student in an Organized Health Care Education/Training Program
101 NICOLLS ROAD, HEALTH SCIENCE CENTER T16, ROOM 020
STONY BROOK, NY 11794
Suffolk County (631) 444-7411
PRIYANKA RAMACHANDRA MD
Student in an Organized Health Care Education/Training Program
101 NICOLLS ROAD, DEPARTMENT OF SURGERY, HSC T-19, 030
STONY BROOK, NY 11794
Suffolk County (631) 444-1791
DR. GABRIELLA NICOLE PINHO M.D.
Obstetrics & Gynecology
101 NICOLLS ROAD, HSC 9, ROOM 020
MOUNT SINDAI, NY 11794
Suffolk County (631) 444-3987
DR. BAHAA E DAOUD MD
Anesthesiology
101 NICOLLS ROAD, HSC LEVEL 4 ROOM 60
STONY BROOK, NY 11794
Suffolk County (631) 444-2078
DR. ALLISON PERNICE MD
Student in an Organized Health Care Education/Training Program
101 NICOLLS ROAD, DEPARTMENT OF SURGERY, HSC T-19, 030
STONY BROOK, NY 11794
Suffolk County (631) 444-1791
DR. DAWEI WU DO
Student in an Organized Health Care Education/Training Program
101 NICOLLS ROAD, HEALTH SCIENCES CENTER LEVEL 4, ROOM 176
STONY BROOK, NY 11794
Suffolk County (631) 638-8517

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 Giorgi Mamardashvili's NPI number?

The NPI number for Giorgi Mamardashvili is 1669315669. It was assigned to this individual provider in the NPPES registry on April 13, 2026.

Where is Giorgi Mamardashvili located?

Giorgi Mamardashvili practices at 101 Nicolls Road Hsct11-40, Stoney Brook, NY 11794. The listed phone number is (631) 444-2020.

What is Giorgi Mamardashvili's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Giorgi Mamardashvili was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.