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NPI Code Detail

MEDICARE: ROSEBELLE DE LEON M.D.

MEDICARE: ROSEBELLE DE LEON M.D.
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
12084P0800XPsychiatry Physician125062194IL
22084P0800XPsychiatry Physician0101264838VA

General Provider Information

NPI Number : 1366636029
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSEBELLE DE LEON M.D.
Provider Business Mailing Address
First Line : 9202 CENTER OAK CT
Second Line :
City : MECHANICSVILLE
State : VA
Zip : 23116-2744
Country : US
Telephone Number : 804-730-0432
Fax Number : 804-730-2829
Provider Business Practice Location Address
First Line : 9202 CENTER OAK CT
Second Line :
City : MECHANICSVILLE
State : VA
Zip : 23116-2744
Country : US
Telephone Number : 804-730-0432
Fax Number : 804-730-0432
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2007
Last Update Date : 04/07/2023

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