Individual
LEENA KHAITAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
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
Update your record
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