Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mariam H Bokolishvili, SA

Individual provider Surgical Assistant · NPI 1225564800

Mariam H Bokolishvili, SA is a Surgical Assistant in Santa Fe, New Mexico. Practices as a sole proprietor. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2

Practice location Address checks out

1511 W Alameda St
Santa Fe, NM 87501-1746
Phone: (505) 459-3988
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 15-489
Surgical Assistant Taxonomy 246ZC0007X · Licence 15-489

Record details

NPI number1225564800
Entity typeIndividual (Type 1)
GenderFemale
Credentials SA
Sole proprietorYes
NPI enumeratedMay 3, 2017
Last updated in NPPESMay 9, 2018

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