Thomas, Leno Mammen

Thomas, Leno Mammen is an individual health care provider with primary practice located at 1432 S Dobson Rd Ste 506 , Mesa AZ 85202-4778. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Pulmonology. Allopathic & Osteopathic Physicians / Pediatric Pulmonology is his primary health care specialty. Thomas, Leno Mammen can be contacted via phone (480) 412-6430.

Contact Information

Primary practice address
1432 S Dobson Rd Ste 506 Mesa AZ 85202-4778
Phone: (480) 412-6430
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-116909 Illinois
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 43248 Arizona

Profile Details

NPI number 1093808370
LBN Legal business name Thomas, Leno Mammen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2006
Last updated Dec 2nd, 2011 - about 15 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 1093808370 NPPES
Arizona MEDICAID 532608

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