Basic Information
| Provider Information | |||||||||
| NPI: | 1861606782 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ABDULLA | ||||||||
| FirstName: | LEITH | ||||||||
| MiddleName: | A | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 100 1ST ST APT 333 | ||||||||
| Address2: | |||||||||
| City: | ROCKVILLE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 208511350 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3012751348 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 3411 OLANDWOOD CT STE 105 | ||||||||
| Address2: | |||||||||
| City: | OLNEY | ||||||||
| State: | MD | ||||||||
| PostalCode: | 208321488 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3017745260 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/09/2007 | ||||||||
| LastUpdateDate: | 04/13/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/13/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | D0080646 | MD | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
ID Information
| ID | Type | State | Issuer | Description | BA9637844 | 01 | DEA | OTHER | D0080646 | 01 | MD | MARYLAND BOARD OF PHYSICIAN | OTHER |