Provider Demographics
NPI:1952715617
Name:PADHYE, LEENA VIKAS (MD)
Entity Type:Individual
Prefix:DR
First Name:LEENA
Middle Name:VIKAS
Last Name:PADHYE
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:9800 SHELBYVILLE RD STE 220
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40223-2992
Mailing Address - Country:US
Mailing Address - Phone:502-429-8585
Mailing Address - Fax:502-429-6157
Practice Address - Street 1:4400 WESTON POINTE DR STE 150
Practice Address - Street 2:
Practice Address - City:ZIONSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46077-7205
Practice Address - Country:US
Practice Address - Phone:317-732-4046
Practice Address - Fax:855-656-8325
Is Sole Proprietor?:No
Enumeration Date:2014-06-19
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01082516A207K00000X
IL036.142957207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology