Provider Demographics
NPI:1336235290
Name:SEVEN HILLS UROLOGY CENTER, INC.
Entity Type:Organization
Organization Name:SEVEN HILLS UROLOGY CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:W
Authorized Official - Last Name:LEFFKE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:434-947-5297
Mailing Address - Street 1:2542 LANGHORNE RD
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501-1602
Mailing Address - Country:US
Mailing Address - Phone:434-947-5297
Mailing Address - Fax:434-947-5371
Practice Address - Street 1:2542 LANGHORNE RD
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-1602
Practice Address - Country:US
Practice Address - Phone:434-947-5297
Practice Address - Fax:434-947-5371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0132800-4208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC00081Medicare ID - Type UnspecifiedGROUP NUMBER