Provider Demographics
NPI:1558343665
Name:OPPLEMAN, LESLIE BARRI (MD)
Entity Type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:BARRI
Last Name:OPPLEMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3241 WESTERN BRANCH BLVD
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321-5260
Mailing Address - Country:US
Mailing Address - Phone:757-686-3508
Mailing Address - Fax:757-686-0541
Practice Address - Street 1:2203 E LITTLE CREEK RD
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23518-4205
Practice Address - Country:US
Practice Address - Phone:757-583-2181
Practice Address - Fax:757-480-6482
Is Sole Proprietor?:No
Enumeration Date:2005-11-15
Last Update Date:2010-04-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101028559207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
005655OtherANTHEM BCBS
VA006075983Medicaid
B06917Medicare UPIN
011967B28Medicare PIN