Healthcare Provider Details

I. General information

NPI: 1750394425
Provider Name (Legal Business Name): HELEN ALLEATA BYRD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4727 ST ANTOINE SUITE 212
DETROIT MI
48201
US

IV. Provider business mailing address

4727 ST ANTOINE SUITE 212 UNIVERSAL PEDIATRICS PC
DETROIT MI
48201
US

V. Phone/Fax

Practice location:
  • Phone: 313-833-7266
  • Fax: 313-833-7085
Mailing address:
  • Phone: 313-833-7266
  • Fax: 313-833-7085

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301041702
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code2080P0210X
TaxonomyPediatric Nephrology Physician
License Number4301041702
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: