Individual
DR. LEANDRO ANTONIO MENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
EMORY UNIVERSITY DIVISION INFECTIOUS DISEASES, ATLANTA, GA 30322-4500
(404) 712-2279
Mailing address
20 10TH ST NW UNIT 1504, ATLANTA, GA 30309-3869
(601) 918-1194
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
13129
LA
207RI0200X
Infectious Disease Physician
Primary
102417
GA
207RI0200X
Infectious Disease Physician
17860
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08920791
—
MS
05
—
1576107
—
LA
01
—
P01245275
RAILROAD PTAN
MS
Enumeration date
04/06/2006
Last updated
05/29/2025
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