Provider Demographics
NPI:1326570748
Name:MARTINOVSKI, HELEN NGOC-HAN (MD)
Entity Type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:NGOC-HAN
Last Name:MARTINOVSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:HELEN
Other - Middle Name:NGOC-HAN
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2109 HUGHES DR
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-3856
Mailing Address - Country:US
Mailing Address - Phone:419-291-7322
Mailing Address - Fax:419-479-2617
Practice Address - Street 1:3901 BEAUBIEN ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-2196
Practice Address - Country:US
Practice Address - Phone:419-291-7322
Practice Address - Fax:419-479-2617
Is Sole Proprietor?:No
Enumeration Date:2017-04-03
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301502857208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics