LEENA SHAHLA


Address: 4555 Emerson St, Jacksonville, FL 32207-4966
Phone: 9043831004

LEENA SHAHLA (NPI# 1235489774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235489774
Entity Type Individual
Full Name LEENA SHAHLA
Credential MD
Practice Address 4555 Emerson St
Jacksonville
FL 32207-4966
Mailing Address Po Box 44008
Jacksonville
FL 32231-4008
Practice Telephone 9043831004
Practice Fax Number 9042445650
Mailing Telephone 9043831004
Mailing Fax Number 9042445650
Enumeration Date 2012-09-12
Last Update Date 2017-11-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine ME132940 FL Allopathic & Osteopathic Physicians
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
ME132940 FL Allopathic & Osteopathic Physicians
N 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
264613 MA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
55 Lake Ave N, Worcester, MA 016550002 5083341000

Office Location

Street Address 4555 EMERSON ST
City JACKSONVILLE
State FL
Zip Code 32207-4966

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669434494 Amie G Deutch Internal Medicine 4555 Emerson St, Jacksonville, FL 32207-4966 2006-04-05
1407494875 Kristina Worthington Nutritionist 4555 Emerson St, Jacksonville, FL 32207-4966 2019-12-17
1245617315 Eliza Lynn Rivera Physical Therapist 4555 Emerson St, Suite # 220, Jacksonville, FL 32207-4966 2015-04-28
1003236910 Christopher Aubrey Specialist/Technologist 4555 Emerson St, Suite 100, Jacksonville, FL 32207-4966 2014-04-17
1972839082 Ron Schey Internal Medicine 4555 Emerson St, Jacksonville, FL 32207-4966 2009-10-23
1568639326 Miguel Horacio Malespin Internal Medicine 4555 Emerson St, Building 1, Suite 300, Jacksonville, FL 32207-4966 2008-05-12
1265581243 Christine Chmielewski Specialist/Technologist, Other 4555 Emerson St, Suite 100, Jacksonville, FL 32207-4966 2007-01-09
1982763652 Mary Alizadeh Internal Medicine 4555 Emerson St, Suite 300, Jacksonville, FL 32207-4966 2006-12-08
1104869510 John Murray Plastic Surgery 4555 Emerson St, Suite 230, Jacksonville, FL 32207-4966 2006-06-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033768981 North Florida Pediatrics, Pa Pediatrics 4501 Atlantic Boulevard, Jacksonville, FL 32207 2019-09-04
1578117024 Pragna Mukesh Dholakia Nurse Practitioner 2624 Atlantic Blvd., Jacksonville, FL 32207 2019-08-01
1821653601 The Adoption Authority, Inc. Case Management 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 2019-05-07
1255896080 Elizabeth Lynn Houghton Social Worker Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 2019-02-06
1902374630 Guilherme Jose Agnoletto Neurological Surgery 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 2018-11-12
1073008504 Pavilion Infusion Therapy Inc Durable Medical Equipment & Medical Supplies 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 2018-06-27
1346733185 Dueseason1 Registered Nurse 4058 Saint Augustine Rd, Jacksonville, FL 32207 2018-06-06
1164911913 Eric Lang Poovey Nurse Practitioner Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 2018-05-08
1902311046 Spring Park Pharmacy LLC Durable Medical Equipment & Medical Supplies 3851 Emerson St Ste 13, Jacksonville, FL 32207 2017-12-12
1295247948 Emed Urgent and Primary Care Pa Clinic/Center 2570 Atlantic Boulevard, Jacksonville, FL 32207 2017-11-02
Find all providers in zip 32207

Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013402783 Thyroid Diabetes Endocrinology and Wellness Inc Internal Medicine 8075 Gate Pkwy W Ste 306, Jacksonville, FL 32216-3685 2018-06-26
1013461193 Diabetes Management Partners LLC Internal Medicine 4190 Belfort Rd Ste 352, Jacksonville, FL 32216-1407 2016-08-07
1679910863 Poonam Kalidas Kapadia Internal Medicine 653 W 8th St # L-14, Jacksonville, FL 32209-6511 2013-05-28
1679896401 Robert Miller Md Pa Internal Medicine 1547 San Marco Blvd, Jacksonville, FL 32207-2905 2010-03-08
1467683524 Salma Makhoul-ahwach Internal Medicine 3 Shircliff Way Ste 630, Jacksonville, FL 32204-4776 2009-08-06
1811134216 Rafael Eligio Gomez Jr. Internal Medicine 1222 Molokai Rd, Jacksonville, FL 32216-3276 2009-01-07
1134328719 Ramadan Hammoud Internal Medicine 9745 Touchton Rd Unit 1705, Jacksonville, FL 32246-9200 2007-07-13
1255541512 Eric Charles Puestow Internal Medicine 7746 Miller Oaks Dr W, Jacksonville, FL 32217-3512 2007-05-23
1952387912 Gunjan Y Gandhi Internal Medicine 653 W 8th St, Jacksonville, FL 32209-6511 2005-12-21
1821071903 Melissa Anne Morgan Internal Medicine 11945 San Jose Blvd Ste 301, Credentialing Department, Jacksonville, FL 32223-1627 2005-11-22
Find all providers in JACKSONVILLE

Competitor

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City JACKSONVILLE
Zip Code 32207

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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