Healthcare Provider Details

I. General information

NPI: 1922048792
Provider Name (Legal Business Name): ABDALLAH JOSEPH HELOU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 10/23/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MEMORIAL AVE
WESTMINSTER MD
21157-5726
US

IV. Provider business mailing address

667 SPRING MEADOW DR
WESTMINSTER MD
21158-4432
US

V. Phone/Fax

Practice location:
  • Phone: 410-848-3000
  • Fax:
Mailing address:
  • Phone: 410-840-2636
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberD0017695
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: