Provider Demographics
NPI:1184651739
Name:LEFF, STEVEN I (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:I
Last Name:LEFF
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5505 PEACHTREE DUNWOODY RD NE
Mailing Address - Street 2:STE 300
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1705
Mailing Address - Country:US
Mailing Address - Phone:404-257-0814
Mailing Address - Fax:404-806-7567
Practice Address - Street 1:5505 PEACHTREE DUNWOODY RD
Practice Address - Street 2:STE 300
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342
Practice Address - Country:US
Practice Address - Phone:404-257-0814
Practice Address - Fax:404-806-7567
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2012-01-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA028590207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000321384LMedicaid
GA000321384FMedicaid
GA000321384GMedicaid
TN3020913Medicaid
TN3020913Medicare PIN
18BDFVBMedicare PIN
18BDFTWMedicare PIN
GA000321384GMedicaid