Individual
DR. LEANNE MIHATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 CAHABA PARK CIR STE 100, BIRMINGHAM, AL 35242-8136
(205) 848-2273
(205) 848-2275
Mailing address
1640 N LIMESTONE ST, SPRINGFIELD, OH 45503
(937) 328-2320
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101234585
VA
208000000X
Pediatrics Physician
036.127903
IL
208000000X
Pediatrics Physician
35097934
OH
208000000X
Pediatrics Physician
Primary
MD.34423
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0053078
—
OH
Enumeration date
05/08/2011
Last updated
01/22/2018
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