Provider Demographics
NPI:1093788705
Name:HELVACIOGLU, AHMET (MD)
Entity Type:Individual
Prefix:
First Name:AHMET
Middle Name:
Last Name:HELVACIOGLU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1084
Mailing Address - Street 2:
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36533-1084
Mailing Address - Country:US
Mailing Address - Phone:251-928-0102
Mailing Address - Fax:251-928-6110
Practice Address - Street 1:25 SPRING RUN RD
Practice Address - Street 2:
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-1925
Practice Address - Country:US
Practice Address - Phone:251-928-0102
Practice Address - Fax:251-928-6110
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-12
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALAL13962207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALC74816Medicare UPIN