# LEYLA DANESHDOOST MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053494716
- **Authorized official:** LEYLA DANESHDOOST M.D. (OWNER)
- **Authorized official phone:** (570) 426-1413

## Contact information

- **Practice address:** 2937 ROUTE 611 UNIT 14, TANNERSVILLE, PA 18372-6000
- **Practice address phone:** (570) 426-1413
- **Practice address fax:** (570) 426-1737
- **Mailing address:** 2937 ROUTE 611 UNIT 14, TANNERSVILLE, PA 18372-6000
- **Mailing address phone:** (570) 426-1413
- **Mailing address fax:** (570) 426-1737

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | MD034780E | PA | Yes |

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 07/27/2021