Individual
MR. LEOR DAVID ROUBEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1415 TULANE AVE, NEW ORLEANS, LA 70112-2600
(504) 988-5110
Mailing address
11104 PARKVIEW PLAZA DR SUITE 310, FORT WAYNE, IN 46845
(260) 266-5230
(260) 266-5238
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
24166
OK
207RG0100X
Gastroenterology Physician
26706
NY
207RG0100X
Gastroenterology Physician
Primary
MD-015604
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08354891
—
MS
05
—
1552097
—
LA
05
—
200036030A
—
OK
Enumeration date
07/19/2005
Last updated
08/03/2021
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