Provider Demographics
NPI:1235231879
Name:MIRAU, HELEN K (MD)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:K
Last Name:MIRAU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:215 E STROOP RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:KETTERING
Mailing Address - State:OH
Mailing Address - Zip Code:45429-2825
Mailing Address - Country:US
Mailing Address - Phone:937-293-3680
Mailing Address - Fax:937-293-3698
Practice Address - Street 1:215 E STROOP RD
Practice Address - Street 2:SUITE 204
Practice Address - City:KETTERING
Practice Address - State:OH
Practice Address - Zip Code:45429-2825
Practice Address - Country:US
Practice Address - Phone:937-293-3680
Practice Address - Fax:937-293-3698
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-03
Last Update Date:2014-08-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35-082004207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHF69346Medicare UPIN