Individual
DR. DEDDEH M BALLAH-LEAHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-8520
Mailing address
500 REDWOOD BLVD, STE 300, NOVATO, CA 94947-6921
(401) 481-7660
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A129332
CA
2085R0204X
Vascular & Interventional Radiology Physician
A129332
CA
Other
Enumeration date
06/29/2012
Last updated
08/15/2024
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