Provider Demographics
NPI:1003840638
Name:BALDI, KAREN ANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:ANNE
Last Name:BALDI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:13 LOWER CANYON LANE
Mailing Address - Street 2:NMSR 65
Mailing Address - City:MONTEZUMA
Mailing Address - State:NM
Mailing Address - Zip Code:87731-0222
Mailing Address - Country:US
Mailing Address - Phone:505-454-3831
Mailing Address - Fax:
Practice Address - Street 1:LOWER CANYON LANE
Practice Address - Street 2:NMSR 65
Practice Address - City:MONTEZUMA
Practice Address - State:NM
Practice Address - Zip Code:87731-0222
Practice Address - Country:US
Practice Address - Phone:505-454-3831
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM2000-09207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine