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Mariam H Bokolishvili, SA
Surgical Physician Assistant in Santa Fe, New Mexico
NPI 1225564800

Mariam H Bokolishvili is a Surgical Physician Assistant based in Santa Fe, NM and is specialized in Surgical. Mariam H Bokolishvili practices in Santa Fe, NM and has the professional credentials of SA. The NPI Number for Mariam H Bokolishvili is 1225564800 and holds a License No. 15-489 (New Mexico).

The current practice location address for Mariam H Bokolishvili is 1511 W Alameda St, Santa Fe, NM and can be reached out via phone at 505-459-3988.

Location: 1511 W Alameda St, Santa Fe, NM, 87501-1746
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225564800
Provider Name
Mariam H Bokolishvili
Credential
SA
Provider Entity Type
Individual
Gender
Female
Address
1511 W Alameda St, Santa Fe, NM, 87501-1746
Phone Number
505-459-3988
Fax Number
Provider Enumeration Date
05/03/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1511 W Alameda St
City
Santa Fe
State
New Mexico
Zip
87501-1746
Phone Number
505-459-3988
Fax Number
person
Provider Business Mailing Address Details
Address
1511 W Alameda St
City
Santa Fe
State
New Mexico
Zip
87501-1746
Phone Number
505-459-3988
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
Surgical Assistant
Taxonomy
246ZC0007X
License No.
15-489 ()
Definition
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
15-489 ()
Definition
Definition to come...
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