Individual
H. KEITH HELLEMS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8700 SUDLEY RD, PRINCE WILLIAM HOSPITAL, RADIOLOGY DEPT, MANASSAS, VA 20110-4418
(703) 369-8341
(703) 369-8423
Mailing address
PO BOX 1067, MANASSAS, VA 20108-1067
(703) 361-3030
(703) 361-2687
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101017942
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6688-0010
CAREFIRST
VA
05
—
7230427
—
VA
05
—
7237626
—
VA
05
—
7237634
—
VA
05
—
7237693
—
VA
05
—
7247389
—
VA
Enumeration date
01/18/2006
Last updated
07/09/2007
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