Individual
LEILA KUTOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 N FANT ST, ANDERSON, SC 29621-5708
(864) 512-1000
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
85343
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85343
LICENSE
SC
05
—
853437
—
SC
Enumeration date
04/02/2017
Last updated
07/24/2023
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