Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EDOMIAS DESTA, MD
Active Sole ProprietorDR. EDOMIAS DESTA, MD is a Internal Medicine healthcare provider located in FARMINGTON, New Mexico. NPI 1124549266 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · FARMINGTON, NM
Registration Details
- NPI Number
- 1124549266
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 28, 2017 (9.1723591909901 yrs)
- Last Updated
- Jul 16, 2020
- License
-
MD2020-0384 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
801 W MAPLE STFARMINGTON, NM, 874015630Browse NM providers · Browse ZIP 87401
- Phone
- 5056096463
- Fax
- 5056096074
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Internal Medicine
Other Internal Medicine Providers in FARMINGTON, NM
| Name | Credential | NPI |
|---|---|---|
| CHRISTOPHER LESUEUR | DO | 1376542118 |
| CHARLES HOFFMAN | MD | 1104887132 |
| DONATUS M. EGBONIM | MD | 1962440875 |
| DR. MARK EDWARD DWINELL | M.D. | 1639106099 |
| DR. DENISE CHAVEZ | M.D. | 1689604274 |
| VILLA AULEEN DEL CARMEN | MD | 1114937984 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.