Provider Demographics
NPI:1295707792
Name:HELMY GERCHEVA, SONIA MARIE LIZA (MD)
Entity type:Individual
Prefix:
First Name:SONIA
Middle Name:MARIE LIZA
Last Name:HELMY GERCHEVA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SONIA
Other - Middle Name:MARIE LIZA
Other - Last Name:HELMY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8450 SEASONS PKWY
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-4402
Mailing Address - Country:US
Mailing Address - Phone:651-702-5300
Mailing Address - Fax:651-702-5305
Practice Address - Street 1:8450 SEASONS PKWY
Practice Address - Street 2:MAIL STOP 32300A
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-4402
Practice Address - Country:US
Practice Address - Phone:651-702-5300
Practice Address - Fax:651-702-5305
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN45999208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN929634400Medicaid
370002867Medicare ID - Type Unspecified
I07736Medicare UPIN