Provider Demographics
NPI:1699762971
Name:LEIBU, TATIANA (MD)
Entity type:Individual
Prefix:DR
First Name:TATIANA
Middle Name:
Last Name:LEIBU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:660 PELLIS RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-4453
Mailing Address - Country:US
Mailing Address - Phone:724-837-9066
Mailing Address - Fax:724-837-9231
Practice Address - Street 1:660 PELLIS RD
Practice Address - Street 2:SUITE 201
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-4453
Practice Address - Country:US
Practice Address - Phone:724-837-9066
Practice Address - Fax:724-837-9231
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-03
Last Update Date:2010-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD058891L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine