Provider Demographics
NPI:1639336845
Name:WEST, HELEN CLAIRE (MD)
Entity Type:Individual
Prefix:DR
First Name:HELEN
Middle Name:CLAIRE
Last Name:WEST
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:HELEN
Other - Middle Name:CLAIRE
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:30 WALKER ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-2404
Mailing Address - Country:US
Mailing Address - Phone:718-775-6189
Mailing Address - Fax:
Practice Address - Street 1:5034 OLD CLINIC BUILDING CB 7110
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-4754
Practice Address - Country:US
Practice Address - Phone:919-966-2276
Practice Address - Fax:919-966-2274
Is Sole Proprietor?:No
Enumeration Date:2008-05-16
Last Update Date:2021-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA240014207R00000X
NC2018-02170207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110086272AMedicaid
MA110086272AMedicaid