Provider Demographics
NPI:1295711547
Name:HELLER, JOSHUA L (MD)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:L
Last Name:HELLER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:19801 OBSERVATION DR
Mailing Address - Street 2:EMERGENCY DEPT
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20876-4070
Mailing Address - Country:US
Mailing Address - Phone:303-557-6500
Mailing Address - Fax:888-741-9868
Practice Address - Street 1:19801 OBSERVATION DR
Practice Address - Street 2:EMERGENCY DEPT
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20876-4070
Practice Address - Country:US
Practice Address - Phone:303-557-6500
Practice Address - Fax:888-741-9868
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2023-06-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD76013207P00000X, 207RH0003X
CO37058207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO94774285Medicaid
COE50210Medicare ID - Type Unspecified
COH10913Medicare UPIN