Healthcare Provider Details

I. General information

NPI: 1821073255
Provider Name (Legal Business Name): LESLIE HOWARD SOBIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2005
Last Update Date: 12/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8403 COLESVILLE RD SUITE 1600
SILVER SPRING MD
20910-6331
US

IV. Provider business mailing address

8403 COLESVILLE RD SUITE 1600
SILVER SPRING MD
20910-6331
US

V. Phone/Fax

Practice location:
  • Phone: 877-234-7522
  • Fax: 804-836-1389
Mailing address:
  • Phone: 877-234-7522
  • Fax: 804-836-1389

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License NumberMD034257
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: