Mamilly, Leena

Mamilly, Leena is an sole proprietor health care provider with primary practice located at 380 Butterfly Gardens Dr , Columbus OH 43215-7508. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Pediatric Endocrinology is her primary health care specialty. Mamilly, Leena can be contacted via phone (614) 722-6200.

Contact Information

Primary practice address
380 Butterfly Gardens Dr Columbus OH 43215-7508
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35-137908 Ohio
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 35-137908 Ohio

Profile Details

NPI number 1760614648
LBN Legal business name Mamilly, Leena
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2009
Last updated Feb 17th, 2022 - about 2 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760614648 NPPES
Ohio Other H640250 CGS-MEDICARE
Ohio MEDICAID 0318209 CGS-MEDICARE

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