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:
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Health care specialties

SpecialtyCodeLicense #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 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497718027 NPPES
Mississippi Other P01245275 RAILROAD PTAN
Mississippi MEDICAID 08920791 RAILROAD PTAN
Mississippi MEDICAID 1576107 RAILROAD PTAN

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