Provider Demographics
NPI:1255491767
Name:HOBBS OBGYN ASSOCIATES PA
Entity Type:Organization
Organization Name:HOBBS OBGYN ASSOCIATES PA
Other - Org Name:HOBBS OBGYN ASSOCIATES PA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PRAKASH
Authorized Official - Middle Name:
Authorized Official - Last Name:RANKA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:505-392-5890
Mailing Address - Street 1:5320 N LOVINGTON HWY
Mailing Address - Street 2:
Mailing Address - City:HOBBS
Mailing Address - State:NM
Mailing Address - Zip Code:88240-9139
Mailing Address - Country:US
Mailing Address - Phone:505-392-5890
Mailing Address - Fax:505-392-7965
Practice Address - Street 1:5320 N LOVINGTON HWY
Practice Address - Street 2:
Practice Address - City:HOBBS
Practice Address - State:NM
Practice Address - Zip Code:88240-9139
Practice Address - Country:US
Practice Address - Phone:505-392-5890
Practice Address - Fax:505-392-7965
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207V00000X
NMR20892363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Not Answered363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM00098338Medicaid
NM04465Medicaid
NM04465Medicaid
NM00098338Medicaid