Individual provider · Type 1 NPI

Mariam Bajelidze, MD

Student in an Organized Health Care Education/Training Program · Pensacola, FL

NPI number 1023854080 Active

Practice location

5375 N 9th Ave Ste A
Pensacola, FL 32504-8725

Call (850) 941-7841 Map

Fax (850) 332-0155

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XTRN41179 (FL)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1023854080

Mariam Bajelidze, MD's National Provider Identifier is 1023854080, issued on Jul 8, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pensacola, FL. The record was last updated on Jul 8, 2024.