Healthcare Provider Details

I. General information

NPI: 1396487575
Provider Name (Legal Business Name): HELEN ZHAO CHEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2022
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3025 GOVERNORS PLACE BLVD
DAYTON OH
45409-1330
US

IV. Provider business mailing address

3025 GOVERNORS PLACE BLVD
DAYTON OH
45409-1330
US

V. Phone/Fax

Practice location:
  • Phone: 937-293-5567
  • Fax: 937-293-5568
Mailing address:
  • Phone: 937-293-5567
  • Fax: 937-293-5568

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License Number35.155581
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: