Healthcare Provider Details

I. General information

NPI: 1114217411
Provider Name (Legal Business Name): NATALIE L LEONG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2011
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 W CAMDEN ST STE 501
BALTIMORE MD
21201-2493
US

IV. Provider business mailing address

PO BOX 64134
BALTIMORE MD
21264-4134
US

V. Phone/Fax

Practice location:
  • Phone: 410-448-6400
  • Fax: 410-244-0635
Mailing address:
  • Phone: 667-214-2714
  • Fax: 410-448-6926

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberPENDING
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberA124051
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number036142609
License Number StateIL
# 4
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberPENDING
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: