Provider Demographics
NPI:1346804960
Name:LEITHEISER, SARA BETH (MD)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:BETH
Last Name:LEITHEISER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8110 MAPLE LAWN BLVD STE 235
Mailing Address - Street 2:
Mailing Address - City:FULTON
Mailing Address - State:MD
Mailing Address - Zip Code:20759-2694
Mailing Address - Country:US
Mailing Address - Phone:301-340-8339
Mailing Address - Fax:301-340-8339
Practice Address - Street 1:2301 RESEARCH BLVD STE 215
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3293
Practice Address - Country:US
Practice Address - Phone:301-340-8339
Practice Address - Fax:301-340-9027
Is Sole Proprietor?:No
Enumeration Date:2019-04-29
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA11259207V00000X
390200000X
MDD0097372207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program