Provider Demographics
NPI:1235303512
Name:BENDANA, EMMA ESTER (MD)
Entity Type:Individual
Prefix:DR
First Name:EMMA
Middle Name:ESTER
Last Name:BENDANA
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 1:2545 S DON ROSER DR
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88011-9107
Mailing Address - Country:US
Mailing Address - Phone:575-522-7880
Mailing Address - Fax:575-522-7226
Practice Address - Street 1:2545 S DON ROSER DR
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-9107
Practice Address - Country:US
Practice Address - Phone:575-522-7880
Practice Address - Fax:575-522-7226
Is Sole Proprietor?:No
Enumeration Date:2008-04-17
Last Update Date:2015-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP8856208800000X
NMMD2015-0519208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMMD2015-0519OtherNM MED LIC