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NPI Code Detail

MEDICARE: DR. JOHN LEAHY MD

MEDICARE: DR. JOHN LEAHY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician0101277884VA
22085R0202XDiagnostic Radiology Physician89412SC
32085R0202XDiagnostic Radiology Physician41893WI
42085R0202XDiagnostic Radiology Physician2023-00808NC

General Provider Information

NPI Number : 1750498200
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN LEAHY MD
Provider Business Mailing Address
First Line : 5220 GREENS DAIRY RD
Second Line :
City : RALEIGH
State : NC
Zip : 27616-4612
Country : US
Telephone Number : 540-493-4581
Fax Number :
Provider Business Practice Location Address
First Line : 3000 NEW BERN AVE
Second Line :
City : RALEIGH
State : NC
Zip : 27610-1231
Country : US
Telephone Number : 919-350-7000
Fax Number : 919-350-8959
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2006
Last Update Date : 01/30/2026

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