Provider Demographics
NPI:1861606782
Name:ABDULLA, LEITH A (MD)
Entity type:Individual
Prefix:DR
First Name:LEITH
Middle Name:A
Last Name:ABDULLA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 1ST ST APT 333
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20851-1350
Mailing Address - Country:US
Mailing Address - Phone:301-275-1348
Mailing Address - Fax:
Practice Address - Street 1:3411 OLANDWOOD CT STE 105
Practice Address - Street 2:
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-1488
Practice Address - Country:US
Practice Address - Phone:301-774-5260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0080646207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD0080646OtherMARYLAND BOARD OF PHYSICIAN
MDD0080646OtherMARYLAND BOARD OF PHYSICIAN