Individual
HELEN SUSAN BIDAWID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
990 OAK RIDGE TPKE, OAK RIDGE, TN 37830-6976
(865) 481-1000
Mailing address
PO BOX 634706, CINCINNATI, OH 45263-1983
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0000030918
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3838216
—
TN
05
—
3838217
—
TN
05
—
3838218
—
TN
01
—
4099825
BLUE CROSS
TN
01
—
4099831
BLUE CROSS
TN
01
—
4136464
BLUE CROSS
TN
01
—
P00232039
RAILROAD
TN
01
—
P00235979
RRGA
TN
Enumeration date
06/10/2006
Last updated
11/14/2007
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