Individual
LEILANI SAUM MULLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
720 ESKENAZI AVE, ESKENAZI HEALTH ANESTHESIA - SECOND FLOOR HOSPITAL, INDIANAPOLIS, IN 46202-5166
(317) 880-5386
(317) 880-0488
Mailing address
720 ESKENAZI AVE, ESKENAZI HEALTH ANESTHESIA - SECOND FLOOR HOSPITAL, INDIANAPOLIS, IN 46202-5166
(317) 880-5386
(317) 880-0488
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01066821A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11013098A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000626645
ANTHEM PTAN
IN
Enumeration date
05/22/2008
Last updated
12/04/2024
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