Individual
LEENATA GANGADHAR MADDIWAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
663 ANDERSON FERRY RD, CINCINNATI, OH 45238-4751
(513) 347-2404
(513) 347-0082
Mailing address
663 ANDERSON FERRY RD, CINCINNATI, OH 45238-4751
(513) 347-2404
(513) 347-0082
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35074273
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2076319
—
OH
Enumeration date
10/05/2006
Last updated
07/08/2007
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