Basic Information
Provider Information
NPI: 1699851279
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HELLAN
FirstName: MINIA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 30 E. APPLE ST.
Address2: STE 5253
City: DAYTON
State: OH
PostalCode: 45409
CountryCode: US
TelephoneNumber: 9372082552
FaxNumber: 9372084286
Practice Location
Address1: 1222 S PATTERSON BLVD
Address2: SUITE 220
City: DAYTON
State: OH
PostalCode: 454022684
CountryCode: US
TelephoneNumber: 9374242469
FaxNumber: 9374242479
Other Information
ProviderEnumerationDate: 10/27/2006
LastUpdateDate: 04/06/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/06/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000XA94257CAN Allopathic & Osteopathic PhysiciansSurgery 
2086X0206X35.092225OHN Allopathic & Osteopathic PhysiciansSurgerySurgical Oncology
208600000X35.092225OHY Allopathic & Osteopathic PhysiciansSurgery 

No ID Information.


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