Basic Information
Provider Information
NPI: 1013449446
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LEYH
FirstName: PRIYANKA
MiddleName: PANKAJ
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8717 W 110TH ST STE 600
Address2:  
City: OVERLAND PARK
State: KS
PostalCode: 662102126
CountryCode: US
TelephoneNumber: 9134282900
FaxNumber: 9134282951
Practice Location
Address1: 5721 W 119TH ST
Address2:  
City: OVERLAND PARK
State: KS
PostalCode: 662093722
CountryCode: US
TelephoneNumber: 9134282900
FaxNumber: 9134282951
Other Information
ProviderEnumerationDate: 04/03/2017
LastUpdateDate: 10/14/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/14/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X94-09537KSN Allopathic & Osteopathic PhysiciansAnesthesiology 
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207L00000X04-44768KSY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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