Provider Demographics
NPI:1215963731
Name:HELMI, SANAA (MD)
Entity type:Individual
Prefix:
First Name:SANAA
Middle Name:
Last Name:HELMI
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:PO BOX 447
Mailing Address - Street 2:
Mailing Address - City:DU BOIS
Mailing Address - State:PA
Mailing Address - Zip Code:15801-0447
Mailing Address - Country:US
Mailing Address - Phone:814-375-6379
Mailing Address - Fax:814-372-2560
Practice Address - Street 1:635 MAPLE AVE
Practice Address - Street 2:3RD FLOOR
Practice Address - City:DU BOIS
Practice Address - State:PA
Practice Address - Zip Code:15801-2383
Practice Address - Country:US
Practice Address - Phone:814-375-6379
Practice Address - Fax:814-372-2560
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-25
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4260492084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1015181260001Medicaid
PAHE1772450OtherHIGHMARK BLUE SHIELD PROV
PAI45579Medicare UPIN
PA095961HSUMedicare ID - Type UnspecifiedHGSA PROVIDER NUMBER