Kutob, Leila
Kutob, Leila is an sole proprietor health care provider with primary practice located at 800 N Fant St , Anderson SC 29621-5708. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Kutob, Leila can be contacted via phone (864) 512-1000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 85343 | South Carolina |
Profile Details
| NPI number | 1245762871 |
|---|---|
| LBN Legal business name | Kutob, Leila |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 2nd, 2017 |
| Last updated | Jul 24th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245762871 | NPPES |
| South Carolina | Other | 85343 | LICENSE |
| South Carolina | MEDICAID | 853437 | LICENSE |
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