Provider Demographics
NPI:1265147524
Name:LEON ROBINSON, MD LLC
Entity type:Organization
Organization Name:LEON ROBINSON, MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:MEHMOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-771-1995
Mailing Address - Street 1:15577 S HAGAN ST
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-7704
Mailing Address - Country:US
Mailing Address - Phone:573-616-9149
Mailing Address - Fax:913-392-7262
Practice Address - Street 1:15577 S HAGAN ST
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-7704
Practice Address - Country:US
Practice Address - Phone:573-616-9149
Practice Address - Fax:913-392-7262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-20
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS201104400AMedicaid