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

Nikoloz Mamulashvili

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1285470807

Nikoloz Mamulashvili is a Student in an Organized Health Care Education/Training Program in Waterbury, Connecticut. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

160 Robbins St
Waterbury, CT 06708-2652
Phone: (203) 573-7284
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1285470807
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 3, 2024
Last updated in NPPESJuly 3, 2024
Certification dateJuly 3, 2024

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