Provider Demographics
NPI:1881697720
Name:JINDRA, HELENA MARIA (MD)
Entity type:Individual
Prefix:DR
First Name:HELENA
Middle Name:MARIA
Last Name:JINDRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1518 HIGHLAND DR
Mailing Address - Street 2:
Mailing Address - City:CONCORDIA
Mailing Address - State:KS
Mailing Address - Zip Code:66901-3931
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1100 HIGHLAND DR
Practice Address - Street 2:FL 3
Practice Address - City:CONCORDIA
Practice Address - State:KS
Practice Address - Zip Code:66901-3923
Practice Address - Country:US
Practice Address - Phone:785-243-4272
Practice Address - Fax:785-243-4275
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0426440207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSG32276Medicare UPIN
KS052422Medicare ID - Type Unspecified