Provider Demographics
NPI:1669413076
Name:COHEN, ILANA HELENE (MD)
Entity type:Individual
Prefix:DR
First Name:ILANA
Middle Name:HELENE
Last Name:COHEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HELEN
Other - Middle Name:
Other - Last Name:LEWANDOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 64131
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21264-4131
Mailing Address - Country:US
Mailing Address - Phone:443-481-6480
Mailing Address - Fax:443-481-6515
Practice Address - Street 1:108 FORBES ST
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-1502
Practice Address - Country:US
Practice Address - Phone:410-571-7880
Practice Address - Fax:410-571-0362
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2018-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD64087207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
G97424OtherELDER HEALTH
1221745OtherAETNA HMO
211329OtherJHHC
9778864OtherCIGNA
2147067OtherMAMSI
7402759OtherAETNA PPO
0004OtherCAREFIRST
MD410212600Medicaid
88696406OtherCAREFIRST
88696401OtherCAREFIRST
88696405OtherCAREFIRST
88696402OtherCAREFIRST
88696403OtherCAREFIRST
88696404OtherCAREFIRST
88696402OtherCAREFIRST
88696405OtherCAREFIRST
MD410212600Medicaid