Provider Demographics
NPI:1043576424
Name:LEAVENS, KARLA FITZGERALD (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:KARLA
Middle Name:FITZGERALD
Last Name:LEAVENS
Suffix:
Gender:F
Credentials:MD, PHD
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Mailing Address - Street 1:2115 SOUTH ST
Mailing Address - Street 2:APT #204
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19146-1223
Mailing Address - Country:US
Mailing Address - Phone:215-694-8998
Mailing Address - Fax:
Practice Address - Street 1:3401 CIVIC CENTER BLVD
Practice Address - Street 2:DIVISION OF PEDIATRIC ENDOCRINOLOGY
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4319
Practice Address - Country:US
Practice Address - Phone:215-694-8998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-10
Last Update Date:2015-06-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMT2014972080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology