Ovadje, Leo
Ovadje, Leo is an individual health care provider with primary practice located at 105 N Park Trl Suite 300, Stockbridge GA 30281-7373. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Ovadje, Leo can be contacted via phone (678) 284-0800.Contact Information
Primary practice address
105 N Park Trl Suite 300
Stockbridge GA 30281-7373
Phone: (678) 284-0800
Fax: (678) 284-0393
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 055143 | Georgia |
Profile Details
| NPI number | 1386635795 |
|---|---|
| LBN Legal business name | Ovadje, Leo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1386635795 | NPPES |
| Georgia | MEDICAID | 526707739G |
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