Healthcare Provider Details

I. General information

NPI: 1366533903
Provider Name (Legal Business Name): HELEN ELIZABETH WALKER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 06/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 WEST ROLLING CROSSROADS SUITE 100
CATONSVILLE MD
21228-5638
US

IV. Provider business mailing address

4 WEST ROLLING CROSSROADS SUITE 100
CATONSVILLE MD
21228-5638
US

V. Phone/Fax

Practice location:
  • Phone: 410-869-0100
  • Fax:
Mailing address:
  • Phone: 410-869-0100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD0035105
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: