Provider Demographics
NPI:1346815362
Name:LEAH OZDEMIR, DO, PLLC
Entity Type:Organization
Organization Name:LEAH OZDEMIR, DO, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:KELLY
Authorized Official - Last Name:OZDEMIR
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:303-996-2800
Mailing Address - Street 1:640 PLAZA DR STE 105
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-2399
Mailing Address - Country:US
Mailing Address - Phone:303-996-2800
Mailing Address - Fax:303-470-9595
Practice Address - Street 1:640 PLAZA DR STE 105
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-2399
Practice Address - Country:US
Practice Address - Phone:303-996-2800
Practice Address - Fax:303-470-9595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-21
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty