Mena, Leandro Antonio
Mena, Leandro Antonio is an individual health care provider with primary practice located at 2500 N State St Division Infectious Diseases, Jackson MS 39216-4500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Mena, Leandro Antonio can be contacted via phone (601) 984-5560.Contact Information
Primary practice address
2500 N State St Division Infectious Diseases
Jackson MS 39216-4500
Phone: (601) 984-5560
Fax: (601) 815-4014
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 13129 | Louisiana |
Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 17860 | Mississippi |
Profile Details
NPI number | 1497718027 |
---|---|
LBN Legal business name | Mena, Leandro Antonio |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 6th, 2006 |
Last updated | Sep 19th, 2014 - about 10 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 | 1497718027 | NPPES |
Mississippi | Other | P01245275 | RAILROAD PTAN |
Mississippi | MEDICAID | 08920791 | RAILROAD PTAN |
Mississippi | MEDICAID | 1576107 | RAILROAD PTAN |
Popular Providers
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Nolan, Rathel Linwood
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Criddle, Frank Jefferson
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