Provider Demographics
NPI:1619188034
Name:NDEY, MARIA (MD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:NDEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3830 N GRIMES ST
Mailing Address - Street 2:SUITE G
Mailing Address - City:HOBBS
Mailing Address - State:NM
Mailing Address - Zip Code:88240-1279
Mailing Address - Country:US
Mailing Address - Phone:575-397-3362
Mailing Address - Fax:575-397-0293
Practice Address - Street 1:3830 N GRIMES ST
Practice Address - Street 2:SUITE G
Practice Address - City:HOBBS
Practice Address - State:NM
Practice Address - Zip Code:88240-1279
Practice Address - Country:US
Practice Address - Phone:575-397-3362
Practice Address - Fax:575-397-0293
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NMMD20120430208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice