Provider Demographics
NPI:1649270653
Name:HELM, DOUGLAS ALAN (MD)
Entity type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:ALAN
Last Name:HELM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2273 E BEECHWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-0329
Mailing Address - Country:US
Mailing Address - Phone:559-268-8307
Mailing Address - Fax:559-268-0650
Practice Address - Street 1:2210 E ILLINOIS AVE
Practice Address - Street 2:SUITE 308
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93701-2184
Practice Address - Country:US
Practice Address - Phone:559-268-8307
Practice Address - Fax:559-268-0650
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-01
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG50409207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0062420Medicaid
CA00G504090Medicaid
E50191Medicare UPIN
CA00G504090Medicaid