MEDICARE: WANDA LEATHERMAN ESTEP 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
1	207Q00000X	Family Medicine Physician	01058311A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000379525	OTHER	IN	ANTHEM PROVIDER NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	11508177	OTHER	IN	CAQH

General Provider Information

NPI Number	:	1386632644
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WANDA LEATHERMAN ESTEP M.D.

Provider Business Mailing Address
First Line	:	3743 LANDMARK DRIVE, STE 200
Second Line	:
City	:	LAFAYETTE
State	:	IN
Zip	:	47905-6633
Country	:	US
Telephone Number	:	765-448-4511
Fax Number	:	765-447-8375

Provider Business Practice Location Address
First Line	:	3774 BAYLEY DR STE A
Second Line	:
City	:	LAFAYETTE
State	:	IN
Zip	:	47905-8654
Country	:	US
Telephone Number	:	765-807-8200
Fax Number	:	765-446-5155

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2005
Last Update Date	:	11/03/2023

Similar Medicare Providers

1184175093 — UNITY HEALTHCARE, LLC
Practice Location Address:

3774 BAYLEY DR , SUITE A
LAFAYETTE, IN
47905-8654

Practice Phone: 765-446-5417
Practice Fax: 765-446-5317

1609724749 — DUNGARVIN INDIANA, LLC
Practice Location Address:

1221 WARREN DR
LAFAYETTE, IN
47905-2122

Practice Phone: 651-699-0206
Practice Fax:

1295683340 — DUNGARVIN INDIANA, LLC
Practice Location Address:

3938 PRANGE DR
LAFAYETTE, IN
47905-4166

Practice Phone: 651-699-0206
Practice Fax:

1780532838 — DUNGARVIN INDIANA, LLC
Practice Location Address:

926 S 10TH ST
LAFAYETTE, IN
47905-1406

Practice Phone: 651-699-0206
Practice Fax:

1740568468 — MS. NEELU CHAWLA MS, LMFT
Practice Location Address:

709 S 18TH ST
LAFAYETTE, IN
47905-1575

Practice Phone: 317-718-8436
Practice Fax: 317-718-8438

1528352598 — PRAVEEN VENIGALLA
Practice Location Address:

3900 ST FRANCIS WAY STE 200
LAFAYETTE, IN
47905-4940

Practice Phone: 765-775-2800
Practice Fax: 765-775-2831

Directions to “ WANDA LEATHERMAN ESTEP M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.