Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | D85800 | MD |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | D85800 | MD |
NPI | 1326482407 |
---|---|
Provider Name | Dr. Yonah Heller |
First Address | Baltimore, MD 21209-3746 |
Second Address | Baltimore, MD 21209-3746 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2013 |
Last Update Date | 28/01/2021 |