Basic Information
Provider Information
NPI: 1366780264
EntityType: 2
ReplacementNPI:  
OrganizationName: HELMI ADVANCED MEDICAL
LastName:  
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Credential:  
OtherOrganizationName:  
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Mailing Information
Address1: 210 E. DERENNE AVE
Address2:  
City: SAVANNAH
State: GA
PostalCode: 31405
CountryCode: US
TelephoneNumber: 9126445300
FaxNumber: 9126443369
Practice Location
Address1: 123 ELLISWOOD DRIVE
Address2:  
City: SATESBORO
State: GA
PostalCode: 30458
CountryCode: US
TelephoneNumber: 2058218081
FaxNumber: 9126443369
Other Information
ProviderEnumerationDate: 01/28/2013
LastUpdateDate: 01/28/2013
NPIDeactivationReasonCode:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: HELMI
AuthorizedOfficialFirstName: HANY
AuthorizedOfficialMiddleName: M
AuthorizedOfficialTitleorPosition: MD
AuthorizedOfficialTelephone: 2058218081
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
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AuthorizedOfficialCredential: MD
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
204R00000X  Y193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansElectrodiagnostic Medicine 

No ID Information.


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