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NPI Code Detail

MEDICARE: RALPH ALBERT LEON MD

MEDICARE: RALPH ALBERT LEON 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
1207Q00000XFamily Medicine Physician0101233437VA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00005888OTHERVARR MEDICARE PIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1891789459
Entity Type Code : Individual
Provider Name (Legal Business Name) : RALPH ALBERT LEON MD
Provider Business Mailing Address
First Line : 224 D CORNWALL STREET NW
Second Line : STE 403
City : LEESBURG
State : VA
Zip : 20176-2704
Country : US
Telephone Number : 703-737-6010
Fax Number : 703-443-8643
Provider Business Practice Location Address
First Line : 46440 BENEDICT DRIVE, SUITE 107
Second Line :
City : STERLING
State : VA
Zip : 20164-6602
Country : US
Telephone Number : 703-450-1125
Fax Number : 703-450-1145
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2005
Last Update Date : 04/10/2024

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Directions to “ RALPH ALBERT LEON MD” Practice Location

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