Healthcare Provider Details

I. General information

NPI: 1386629004
Provider Name (Legal Business Name): LEEANN RHODES M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2005
Last Update Date: 11/08/2022
Certification Date: 11/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 BESTGATE RD STE 400
ANNAPOLIS MD
21401-3371
US

IV. Provider business mailing address

1000 BESTGATE RD STE 400
ANNAPOLIS MD
21401-3371
US

V. Phone/Fax

Practice location:
  • Phone: 410-266-2720
  • Fax: 410-224-0209
Mailing address:
  • Phone: 410-266-2720
  • Fax: 410-224-0209

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number214222
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberD46211
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: