Provider Demographics
NPI:1679651772
Name:GUARDA, HELENA M (MD)
Entity Type:Individual
Prefix:DR
First Name:HELENA
Middle Name:M
Last Name:GUARDA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:5131 RIVER CLUB DR STE 110
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23435-3846
Mailing Address - Country:US
Mailing Address - Phone:757-483-6550
Mailing Address - Fax:757-483-6555
Practice Address - Street 1:5131 RIVER CLUB DR STE 110
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23435-3846
Practice Address - Country:US
Practice Address - Phone:757-483-6550
Practice Address - Fax:757-483-6555
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101231360174400000X, 208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6901905Medicaid
VAH44330Medicare UPIN