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NPI Code Detail

MEDICARE: HELENA HELGA LIPTAKOVA M.D.

MEDICARE: HELENA HELGA LIPTAKOVA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianK0894TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18DR983OTHERTXBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104820802
Entity Type Code : Individual
Provider Name (Legal Business Name) : HELENA HELGA LIPTAKOVA M.D.
Provider Business Mailing Address
First Line : PO BOX 593
Second Line :
City : WHITE SULPHUR SPRINGS
State : WV
Zip : 24986-0593
Country : US
Telephone Number : 304-536-5030
Fax Number : 304-536-5031
Provider Business Practice Location Address
First Line : 9870 GATEWAY BLVD N
Second Line : STE B7
City : EL PASO
State : TX
Zip : 79924-4425
Country : US
Telephone Number : 915-751-5245
Fax Number : 915-751-5255
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 06/18/2014

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Directions to “ HELENA HELGA LIPTAKOVA M.D.” Practice Location

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