LEELA S. MAXA MD LLC NPI 1164714937

NPI Information

LEELA S. MAXA MD, LLC is a specialist in Lawrenceville, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. LEELA S. MAXA MD, LLC NPI is 1164714937. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

311 PHILIP BLVD
LAWRENCEVILLE, GA
ZIP 30046-733
Phone: (770) 995-3000
Fax: (770) 995-1427

The provider's authorized official is Leela S Maxa .
The authorized official title is Owner/physician and has the following contact phone number (770) 682-2099.

The enumeration date for this NPI number is 5/11/2011 and was last updated on 5/11/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.