Provider Demographics
NPI:1033319637
Name:TAMSKY, LEONARD I (MD)
Entity Type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:I
Last Name:TAMSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:749 E CIRCLE RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-4141
Mailing Address - Country:US
Mailing Address - Phone:602-644-5469
Mailing Address - Fax:602-644-8150
Practice Address - Street 1:749 E CIRCLE RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-4141
Practice Address - Country:US
Practice Address - Phone:602-644-5469
Practice Address - Fax:602-644-8150
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-20
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7666207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
00006639740Medicare UPIN