Provider Demographics
NPI:1437182888
Name:MCMANN, LEAH PEREZ (MD)
Entity Type:Individual
Prefix:DR
First Name:LEAH
Middle Name:PEREZ
Last Name:MCMANN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:91-1027 NIOLO ST
Mailing Address - Street 2:
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-5116
Mailing Address - Country:US
Mailing Address - Phone:808-983-6633
Mailing Address - Fax:808-983-6646
Practice Address - Street 1:1 JARRETT WHITE RD
Practice Address - Street 2:MCHK-DSU
Practice Address - City:TAMC
Practice Address - State:HI
Practice Address - Zip Code:96859-5001
Practice Address - Country:US
Practice Address - Phone:808-433-2778
Practice Address - Fax:808-433-7194
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2020-01-04
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Provider Licenses
StateLicense IDTaxonomies
HI10373208800000X, 2088P0231X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2088P0231XAllopathic & Osteopathic PhysiciansUrologyPediatric Urology
No208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIVAD000Medicare UPIN