Provider Demographics
NPI:1811917891
Name:EVANS, HELEN HUGHES (MD)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:HUGHES
Last Name:EVANS
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 1:703 VOLKER HALL
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35294-0001
Mailing Address - Country:US
Mailing Address - Phone:205-934-3795
Mailing Address - Fax:205-975-2499
Practice Address - Street 1:1616 6TH AVE S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-1788
Practice Address - Country:US
Practice Address - Phone:205-939-9585
Practice Address - Fax:205-975-6503
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2011-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL16106208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000024730Medicaid
AL000028827Medicaid
AL009999675Medicaid
F78306OtherVIVA
AL510-24730OtherBC BS
F78306OtherVIVA
F78306Medicare UPIN
AL000028827Medicaid