Provider Demographics
NPI:1871524348
Name:BERDAYES, MARIA G (DO)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:G
Last Name:BERDAYES
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:G
Other - Last Name:BERDAYES-BOWLES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:22710 PROFESSIONAL DR STE 102
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-6009
Mailing Address - Country:US
Mailing Address - Phone:281-359-2080
Mailing Address - Fax:281-359-2421
Practice Address - Street 1:451 KINGWOOD MEDICAL DR STE 200
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-6404
Practice Address - Country:US
Practice Address - Phone:281-359-2080
Practice Address - Fax:281-359-2421
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34-008654207P00000X
TXM6525207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHI48897Medicare UPIN