Provider Demographics
NPI:1881859825
Name:BENDANA, MARIA ELENA (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA ELENA
Middle Name:
Last Name:BENDANA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:ELENA
Other - Last Name:ORTEGA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:850 BROOKSTONE CENTRE PKWY
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-9247
Mailing Address - Country:US
Mailing Address - Phone:706-507-5320
Mailing Address - Fax:706-507-4242
Practice Address - Street 1:860 BROOKSTONE CENTRE PKWY
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-9270
Practice Address - Country:US
Practice Address - Phone:706-507-5320
Practice Address - Fax:706-507-4747
Is Sole Proprietor?:No
Enumeration Date:2008-07-18
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA066255207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003114468CMedicaid
GA202I089076OtherMEDICARE PTAN