Individual provider · Type 1 NPI

Miatta Ndama, MD

Student in an Organized Health Care Education/Training Program · Maywood, IL

NPI number 1952114431 Active

Practice location

2160 S 1st Ave
Maywood, IL 60153-3328

Call (708) 783-6586 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X125.087960 (IL)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1952114431

Miatta Ndama, MD's National Provider Identifier is 1952114431, issued on Jan 29, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Maywood, IL. The record was last updated on Jun 17, 2026.