Provider Demographics
NPI:1104926740
Name:HOCHMAN, LEON A (MD)
Entity type:Individual
Prefix:
First Name:LEON
Middle Name:A
Last Name:HOCHMAN
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 1:30055 NORTHWESTERN HWY
Mailing Address - Street 2:SUITE 270
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-3230
Mailing Address - Country:US
Mailing Address - Phone:248-865-4220
Mailing Address - Fax:248-865-4103
Practice Address - Street 1:30055 NORTHWESTERN HWY
Practice Address - Street 2:SUITE 270
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-3230
Practice Address - Country:US
Practice Address - Phone:248-865-4220
Practice Address - Fax:248-865-4103
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-24
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MILH030017207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI160F376930OtherBCN ADVANTAGE
MIE26297OtherHEALTH ALLIANCE PLAN
MI1329663Medicaid
MI0F37693004OtherMEDICARE PLUS BLUE
MI160F376930OtherBCBS OF MICHIGAN
MI160F376930OtherBLUE CARE NETWORK
MIB0441OtherMCARE
MI102126OtherCARE CHOICES HMO
MI160F376930OtherBCBS OF MI FEDERAL EMPLOY
MI1329663Medicaid
MI1329663Medicaid