Provider Demographics
NPI:1891817227
Name:TATUNAY, HELEN SANTOS (MD)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:SANTOS
Last Name:TATUNAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8108 W GRANDRIDGE BLVD
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-7157
Mailing Address - Country:US
Mailing Address - Phone:509-942-3264
Mailing Address - Fax:509-735-5382
Practice Address - Street 1:8108 W GRANDRIDGE BLVD
Practice Address - Street 2:KADLEC CLINIC CENTER FOR PEDIATRICS
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336
Practice Address - Country:US
Practice Address - Phone:509-942-3265
Practice Address - Fax:509-735-5382
Is Sole Proprietor?:No
Enumeration Date:2007-04-05
Last Update Date:2018-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA946252080H0002X
WAMD00048486208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080H0002XAllopathic & Osteopathic PhysiciansPediatricsHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8916765Medicare PIN