Provider Demographics
NPI:1902834856
Name:CALI, HELEN H (MD)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:H
Last Name:CALI
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 1:8TH AVE & C STREET
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84143-0002
Mailing Address - Country:US
Mailing Address - Phone:801-408-5482
Mailing Address - Fax:
Practice Address - Street 1:8TH AVE & C STREET
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84143-0002
Practice Address - Country:US
Practice Address - Phone:801-408-5482
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT3788751205207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT1902834856Medicaid
UTP00013600OtherMEDICARE RAILROAD
UT1902834856Medicaid
H58972Medicare UPIN
UT000066982Medicare PIN