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
Phone: (614) 722-6200
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1760614648 | NPPES |
Ohio | Other | H640250 | CGS-MEDICARE |
Ohio | MEDICAID | 0318209 | CGS-MEDICARE |
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