Provider Demographics
NPI:1487628855
Name:PEREZ, HELIO C (MD)
Entity Type:Individual
Prefix:
First Name:HELIO
Middle Name:C
Last Name:PEREZ
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 1:2601 COLD SPRING RD
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46222-2202
Mailing Address - Country:US
Mailing Address - Phone:317-941-4000
Mailing Address - Fax:317-941-4041
Practice Address - Street 1:2601 COLD SPRING RD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46222-2202
Practice Address - Country:US
Practice Address - Phone:317-941-4000
Practice Address - Fax:317-941-4041
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN010213192084F0202X, 2084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN165490SMedicare ID - Type Unspecified