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Search › Indiana › 367500000X

Jed Leifson

NPI 1396383881 · on the registry since 2019 · sole proprietor

Practice

Address
3630 Willowcreek Rd
Portage, IN 46368
Phone
(219) 364-3000
Organisation at this address
Kota Medical Pc
Ranga Kota Md, Pc
Porter Hospital Llc
Baqhar Mohideen Md, Pc
Porter Health Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
367500000X
367500000X
Also registered as
163W00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-02-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana