Provider Demographics
NPI:1093692261
Name:NDAKIZE, VALERY
Entity type:Individual
Prefix:
First Name:VALERY
Middle Name:
Last Name:NDAKIZE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5656 BEALE ST
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46168-0106
Mailing Address - Country:US
Mailing Address - Phone:463-249-0968
Mailing Address - Fax:
Practice Address - Street 1:5656 BEALE ST
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IN
Practice Address - Zip Code:46168-0106
Practice Address - Country:US
Practice Address - Phone:463-249-0968
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health