Leyla Daneshdoost MD PC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

MD034780E Issued in PA

Legal business name

LEYLA DANESHDOOST MD PC

Practice address

2937 Route 611 Unit 14
Tannersville, PA 18372-6000

Phone

(570) 426-1413

Fax

(570) 426-1737

NPI assigned

Oct 24, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Leyla Daneshdoost, M.D.

Title

Owner

Phone

(570) 426-1413

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1053494716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2937 ROUTE 611 UNIT 14",
            "city": "TANNERSVILLE",
            "state": "PA",
            "postal_code": "183726000",
            "telephone_number": "570-426-1413",
            "fax_number": "570-426-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2937 ROUTE 611 UNIT 14",
            "city": "TANNERSVILLE",
            "state": "PA",
            "postal_code": "183726000",
            "telephone_number": "570-426-1413",
            "fax_number": "570-426-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEYLA DANESHDOOST MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2021-07-27",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "DANESHDOOST",
        "authorized_official_first_name": "LEYLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-426-1413",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "MD034780E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Endocrinology, Diabetes & Metabolism Physician in Tannersville, PA
• Providers in Tannersville, PA by specialty
• Endocrinology, Diabetes & Metabolism Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.