Healthcare Provider Details

I. General information

NPI: 1487791521
Provider Name (Legal Business Name): DAVID JAMES LEU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: DIRK LEU MD

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 11/21/2024
Certification Date: 11/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 N CAROLINE ST # 5253 DEPT OF ORTHOPEDIC SURGERY
BALTIMORE MD
21287-0006
US

IV. Provider business mailing address

237 S CHAPEL ST
BALTIMORE MD
21231-2604
US

V. Phone/Fax

Practice location:
  • Phone: 410-955-8344
  • Fax:
Mailing address:
  • Phone: 410-905-2859
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberA91061
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number257048
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberD69592
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: