Individual
MARIAM H BOKOLISHVILI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
S.A.
Contact information
Practice address
1511 W ALAMEDA ST, SANTA FE, NM 87501-1746
(505) 459-3988
Mailing address
1511 W ALAMEDA ST, SANTA FE, NM 87501-1746
(505) 459-3988
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
15-489
—
363AS0400X
Surgical Physician Assistant
Primary
15-489
—
Other
Enumeration date
05/03/2017
Last updated
05/09/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us