Provider Demographics
NPI:1275042319
Name:PANDYA, LEENA SUTHAR (ND)
Entity Type:Individual
Prefix:DR
First Name:LEENA
Middle Name:SUTHAR
Last Name:PANDYA
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:LEENA
Other - Middle Name:ARVIND
Other - Last Name:SUTHAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1463 11TH AVE APT B
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-3684
Mailing Address - Country:US
Mailing Address - Phone:717-437-3827
Mailing Address - Fax:
Practice Address - Street 1:747 FRONT STREET
Practice Address - Street 2:C/O EMPOWER
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94111
Practice Address - Country:US
Practice Address - Phone:415-972-9687
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-20
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND943175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath