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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EBBA K. EBBA, M.D

Active

EBBA K. EBBA, M.D is a Pediatrics healthcare provider located in FORT DEFIANCE, Arizona. NPI 1609857341 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · FORT DEFIANCE, AZ

Registration Details

NPI Number
1609857341
Provider Type
Individual
Gender
Male
NPI Issued
Nov 9, 2005 (20.717474563625 yrs)
Last Updated
May 13, 2025
Licenses
36724 (GA)
50869 (KY)
25659 (AL)
32946 (WV)
TP229 (KY)

Practice Information

Address
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ, 865040649
Browse AZ providers · Browse ZIP 86504
Phone
9287298000
Primary Specialty
Pediatrics
208000000X
Additional Specialty
Pediatrics
Additional Specialty
Pediatrics
Additional Specialty
Pediatrics
Additional Specialty
Pediatrics

Other Pediatrics Providers in FORT DEFIANCE, AZ

Name Credential NPI
LAURENCE MARTIN MD 1871597682
DR. MARTHA E COLGAN MD 1508841636
DR. FERNANDO ALEXANDER CARDONA MD 1619944410
DR. JUAN CARLOS DEL RIO ROURE M.D. 1902857428
RENEE ORNELAS MD 1639184104
SANTOSH BANDUGULA REDDY MD 1114000833
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.