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Individual
LEDA AMERI GHANNAD
Active
Individual
LEDA AMERI GHANNAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
01076001A
IN
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
036.096469
IL
Other
Enumeration date
05/18/2010
Last updated
12/08/2016
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