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NPI Code Detail

MEDICARE: LEROY EKEH MD

MEDICARE: LEROY EKEH MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology PhysicianW0563TX
2207W00000XOphthalmology Physician202400614NC

General Provider Information

NPI Number : 1306467261
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEROY EKEH MD
Provider Business Mailing Address
First Line : 5717 BALCONES DR
Second Line :
City : AUSTIN
State : TX
Zip : 78731-4203
Country : US
Telephone Number : 512-327-7000
Fax Number : 512-314-1662
Provider Business Practice Location Address
First Line : 2799 W GRAND BLVD
Second Line :
City : DETROIT
State : MI
Zip : 48202-2689
Country : US
Telephone Number : 313-916-9454
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2020
Last Update Date : 09/03/2025

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