Individual provider · Type 1 NPI

Mariam Dzigrashvili, MD

Student in an Organized Health Care Education/Training Program · Bronx, NY

NPI number 1235987116 Active · reactivated Feb 24, 2025

Practice location

234 East 149 Street
Bronx, NY 10451

Call (718) 579-4836 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1235987116

Mariam Dzigrashvili, MD's National Provider Identifier is 1235987116, issued on May 7, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bronx, NY. The record was last updated on Feb 24, 2025.