Individual
IDO HELETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 CRYSTAL SPRING AVE SW, SUITE 203, ROANOKE, VA 24014-2462
(540) 982-8204
(540) 224-1059
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101257723
VA
207RC0000X
Cardiovascular Disease Physician
D0070721
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VVG459A
MEDICARE PTAN
VA
Enumeration date
05/18/2007
Last updated
09/15/2025
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