Provider Demographics
NPI:1467491480
Name:BIELEKOVA, BIBIANA (MD)
Entity Type:Individual
Prefix:DR
First Name:BIBIANA
Middle Name:
Last Name:BIELEKOVA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 CENTER DR
Mailing Address - Street 2:NIH/NINDS/NIB BLD10/RM5C103
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-0001
Mailing Address - Country:US
Mailing Address - Phone:301-496-1801
Mailing Address - Fax:301-402-0373
Practice Address - Street 1:10 CENTER DR
Practice Address - Street 2:NIH/NINDS/NIB BLD10/RM5C103
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-0001
Practice Address - Country:US
Practice Address - Phone:301-496-1801
Practice Address - Fax:301-402-0373
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2009-07-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH350869232084N0400X
MDD00694582084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2617252Medicaid
OH2617252Medicaid
OHI44773Medicare UPIN