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Individual

LEENA KHAITAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106
(216) 844-7874
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
051958
GA
208600000X
Surgery Physician
Primary
35-089052
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000221319
UNISON
OH
01
000000506287
ANTHEM
OH
05
000962838A
GA
01
020052913
RAILROAD MEDICARE
GA
01
1977496
UNITED HEALTHCARE
GA
05
2707075
OH
01
2966206
US HEALTHCARE
GA
01
414991
WELLCARE
OH
01
747193
BUCKEYE
01
7867137
AETNA
OH
01
841282
BCBS
GA
01
Y 20030101
PHCS
GA
Enumeration date
07/16/2006
Last updated
01/12/2021
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