MEDICARE: MEREDITH L HELTZER 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
1	2080P0204X	Pediatric Emergency Medicine (Pediatrics) Physician	MD421447	PA
2	2080P0201X	Pediatric Allergy/Immunology Physician	0101245431	VA
3	207K00000X	Allergy & Immunology Physician	D0066345	MD
4	208000000X	Pediatrics Physician	MD421447	PA
5	2080P0201X	Pediatric Allergy/Immunology Physician	MD421447	PA
6	2080P0201X	Pediatric Allergy/Immunology Physician	D0066345	MD
7	2080P0201X	Pediatric Allergy/Immunology Physician	MD038645	DC

Other Identifiers

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

General Provider Information

NPI Number	:	1427073634
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEREDITH L HELTZER M.D.

Provider Business Mailing Address
First Line	:	2101 E JEFFERSON ST
Second Line	:	KAISER PERMANENTE MEDICARE ENROLLMENT
City	:	ROCKVILLE
State	:	MD
Zip	:	20852-4908
Country	:	US
Telephone Number	:	301-816-2424
Fax Number	:

Provider Business Practice Location Address
First Line	:	8008 WESTPARK DRIVE
Second Line	:	2ND FLOOR ALLERGY
City	:	MCLEAN
State	:	VA
Zip	:	22102
Country	:	US
Telephone Number	:	703-287-6559
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	06/29/2021

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