Provider Demographics
NPI:1508912239
Name:BALDADO, HELEN M (MD)
Entity Type:Individual
Prefix:DR
First Name:HELEN
Middle Name:M
Last Name:BALDADO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:547 RIVERSIDE DRIVE
Mailing Address - Street 2:SUITE F
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801
Mailing Address - Country:US
Mailing Address - Phone:410-742-0871
Mailing Address - Fax:410-742-9580
Practice Address - Street 1:547 RIVERSIDE DRIVE
Practice Address - Street 2:SUITE F
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801
Practice Address - Country:US
Practice Address - Phone:410-742-0871
Practice Address - Fax:410-742-9580
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2010-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0016840207R00000X, 207RH0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
21D0221055OtherCLIA ID
673542OtherAETNA
MD001351000Medicaid
T864OtherBCBS
0000311901OtherMA DE
001351000OtherMA MD
29945OtherCOVENTRY
4375219OtherAETNA
52106137OtherCHAMPUS
DE0000311901Medicaid
6078575OtherMA VA
673542OtherUS HEALTHCARE
81767OtherMAMSI
81767OtherMDIPA
110227909OtherMC RAILROAD
521067137OtherFED TAX ID #
81767OtherALLIANCE
T8640001OtherCAREFIRST BLUE CHOICE BLU
673542OtherUS HEALTHCARE
1298HMMedicare ID - Type Unspecified