| Mariam H Bokolishvili, SA | |
|
1511 W Alameda St, Santa Fe, NM 87501-1746 | |
| (505) 459-3988 | |
| Not Available |
| Full Name | Mariam H Bokolishvili |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Surgical |
| Location | 1511 W Alameda St, Santa Fe, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225564800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 15-489 (NU) | Primary |
| 246ZC0007X | Specialist/technologist, Other - Surgical Assistant | 15-489 (NU) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mariam H Bokolishvili, SA 1511 W Alameda St, Santa Fe, NM 87501-1746 Ph: (505) 459-3988 | Mariam H Bokolishvili, SA 1511 W Alameda St, Santa Fe, NM 87501-1746 Ph: (505) 459-3988 |
Mr. Mitchell Constant, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1640 Old Pecos Trail, Suite H, Health Front, Pc, Santa Fe, NM 87505 Phone: 505-992-0233 |
Leah Becker, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 65 Cibola Cir, Santa Fe, NM 87505 Phone: 505-930-1712 |
Merry Beyeler, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2801 Rodeo Rd, Suite B-13, Santa Fe, NM 87507 Phone: 505-474-5241 Fax: 505-471-4503 |
Darina Linnik, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1631 Hospital Dr Ste 240, Santa Fe, NM 87505 Phone: 505-913-3975 |
Kimberly A Berge, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 433 St Michaels Dr, Santa Fe, NM 87505 Phone: 505-988-1232 Fax: 505-984-1603 |
Dominic Matthew Guerin, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4200 Beckner Rd, Santa Fe, NM 87507 Phone: 505-477-2200 |
Miss Emily Catherine Wabick, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4801 Beckner Rd Level 2 Pod 2 Ste 2650, Obstetrics And Gynecology - Santa Fe, Santa Fe, NM 87507 Phone: 505-772-2000 Fax: 505-772-1749 |