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Individual

DR. LEENA K MEHANDRU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5720 STONERIDGE MALL RD STE 300, PLEASANTON, CA 94588-2831
(925) 463-1680
Mailing address
5720 STONERIDGE MALL RD STE 300, PLEASANTON, CA 94588-2831
(925) 463-1680

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
A45422
CA
207RN0300X
Nephrology Physician
Primary
A45422
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
943075855
TAX ID
CA
01
A45422
LICENSE
CA
Enumeration date
06/03/2006
Last updated
12/07/2023
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