Provider Demographics
NPI:1578755914
Name:DAFTARIAN, HELGA S (DO, MPH, MBA)
Entity Type:Individual
Prefix:DR
First Name:HELGA
Middle Name:S
Last Name:DAFTARIAN
Suffix:
Gender:F
Credentials:DO, MPH, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 W STROOP RD
Mailing Address - Street 2:
Mailing Address - City:MORAINE
Mailing Address - State:OH
Mailing Address - Zip Code:45439-1929
Mailing Address - Country:US
Mailing Address - Phone:937-455-2656
Mailing Address - Fax:937-455-2569
Practice Address - Street 1:2601 W STROOP RD
Practice Address - Street 2:
Practice Address - City:MORAINE
Practice Address - State:OH
Practice Address - Zip Code:45439-1929
Practice Address - Country:US
Practice Address - Phone:937-455-2656
Practice Address - Fax:937-455-2569
Is Sole Proprietor?:No
Enumeration Date:2007-08-09
Last Update Date:2007-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH340074702083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine