Provider Demographics
NPI:1497505473
Name:PADAYACHEE, LEANDRA (DO)
Entity Type:Individual
Prefix:
First Name:LEANDRA
Middle Name:
Last Name:PADAYACHEE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1905 NOTRE DAME BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-7822
Mailing Address - Country:US
Mailing Address - Phone:530-487-7061
Mailing Address - Fax:
Practice Address - Street 1:1905 NOTRE DAME BLVD STE 200
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-7822
Practice Address - Country:US
Practice Address - Phone:530-487-7061
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program