Provider Demographics
NPI:1245252667
Name:LEUNG, ANTHONY K (DO)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:K
Last Name:LEUNG
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 ARCH ST.
Mailing Address - Street 2:STE. 506
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44304-1434
Mailing Address - Country:US
Mailing Address - Phone:330-375-3894
Mailing Address - Fax:330-375-6680
Practice Address - Street 1:75 ARCH ST.
Practice Address - Street 2:STE. 506
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44304-1434
Practice Address - Country:US
Practice Address - Phone:330-375-3894
Practice Address - Fax:330-375-6680
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2011-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.008662207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH4188461OtherMEDICARE ID
OH2664200Medicaid
OH2664200Medicaid