Provider Demographics
NPI:1154985703
Name:HELLER, ARIEL RACHEL (MD)
Entity type:Individual
Prefix:DR
First Name:ARIEL
Middle Name:RACHEL
Last Name:HELLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ARIEL
Other - Middle Name:RACHEL
Other - Last Name:BREITBART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:125 DOUGHTY STREET MSC 561, SUITE 550
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29425-8905
Mailing Address - Country:US
Mailing Address - Phone:843-792-6004
Mailing Address - Fax:
Practice Address - Street 1:171 ASHLEY AVE
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29425-0100
Practice Address - Country:US
Practice Address - Phone:908-499-9152
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-30
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC82365208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics