Maxa, Leela
Maxa, Leela is an sole proprietor health care provider with primary practice located at 311 Philip Blvd , Lawrenceville GA 30046-8733. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is her primary health care specialty. Maxa, Leela can be contacted via phone (770) 998-3000.Contact Information
Primary practice address
311 Philip Blvd
Lawrenceville GA 30046-8733
Phone: (770) 998-3000
Fax: (770) 995-1427
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 037382 | Georgia |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 037382 | Georgia |
Profile Details
| NPI number | 1427032663 |
|---|---|
| LBN Legal business name | Maxa, Leela |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 1st, 2005 |
| Last updated | Jun 3rd, 2015 - about 11 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 | 1427032663 | NPPES |
| Georgia | Other | 511I920018 | MEDICARE PROVIDER ID |
| Georgia | MEDICAID | 00564935C | MEDICARE PROVIDER ID |
| Georgia | MEDICAID | 000564935G | MEDICARE PROVIDER ID |
| Georgia | MEDICAID | 000564935O | MEDICARE PROVIDER ID |
| Georgia | MEDICAID | 000564935P | MEDICARE PROVIDER ID |
| Georgia | MEDICAID | 000564935Q | MEDICARE PROVIDER ID |
| Georgia | MEDICAID | 000564935T | MEDICARE PROVIDER ID |
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