Healthcare Provider Details

I. General information

NPI: 1629389853
Provider Name (Legal Business Name): HOLLY BEE LESHIKAR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2010
Last Update Date: 01/05/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4860 Y ST STE 1700
SACRAMENTO CA
95817-2307
US

IV. Provider business mailing address

4860 Y ST STE 2100
SACRAMENTO CA
95817-2307
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-5885
  • Fax:
Mailing address:
  • Phone: 916-734-5885
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XP3100X
TaxonomyPediatric Orthopaedic Surgery Physician
License NumberA12112
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: