Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ILYA M LEYNGOLD, MD
ActiveILYA M LEYNGOLD, MD is a 207WX0200X healthcare provider located in MERIDIAN, Idaho. NPI 1407996176 is currently active in the NPPES registry. Verify at CMS.
207WX0200X · MERIDIAN, ID
Registration Details
- NPI Number
- 1407996176
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 8, 2007 (19.552519114816 yrs)
- Last Updated
- Nov 10, 2022
- Licenses
-
ME112787 (FL)ME112787 (FL)2016-00134 (NC)
Practice Information
- Address
-
3015 E GOLDSTONE DR # 130MERIDIAN, ID, 836421549Browse ID providers · Browse ZIP 83642
- Phone
- 2089004673
- Fax
- 2082665033
- Primary Specialty
-
207WX0200X
207WX0200X
- Additional Specialty
- 207WX0200X
- Additional Specialty
- 207WX0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.