Individual
LEENA PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
640 S STATE ST, DOVER, DE 19901
(302) 674-4700
Mailing address
PO BOX 10925, WILMINGTON, DE 19850-0925
(302) 709-4587
(302) 709-2402
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101225323
VA
207L00000X
Anesthesiology Physician
Primary
C10006941
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
239192ZAD5
MEDICARE PTAN
DE
01
—
P01052316
MEDICARE RAIL ROAD PTAN
DE
Enumeration date
07/03/2006
Last updated
12/05/2023
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