Provider Demographics
NPI:1326064858
Name:HELDMANN, MAUREEN (MD)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:
Last Name:HELDMANN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
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Mailing Address - Street 1:4301 W MARKHAM ST # 783
Mailing Address - Street 2:DEPARTMENT OF RADIOLOGY
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-7101
Mailing Address - Country:US
Mailing Address - Phone:501-686-8000
Mailing Address - Fax:501-562-6562
Practice Address - Street 1:4301 W MARKHAM ST # 783
Practice Address - Street 2:DEPARTMENT OF RADIOLOGY
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-7101
Practice Address - Country:US
Practice Address - Phone:501-686-8000
Practice Address - Fax:501-562-6562
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA11319R2085R0202X
ARE-89352085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1679062Medicaid
LA1679062Medicaid
LA5W730F600Medicare ID - Type Unspecified