MEDICARE: LEEANN RHODES, M.D., P.C.

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	207LP2900X	Pain Medicine (Anesthesiology) Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467760389
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEEANN RHODES, M.D., P.C.

Provider Business Mailing Address
First Line	:	PO BOX 113
Second Line	:
City	:	FULTON
State	:	MD
Zip	:	20759-0113
Country	:	US
Telephone Number	:	301-345-8834
Fax Number	:	301-345-8838

Provider Business Practice Location Address
First Line	:	8824 CUNNINGHAM DR STE C
Second Line	:
City	:	BERWYN HEIGHTS
State	:	MD
Zip	:	20740-2338
Country	:	US
Telephone Number	:	301-345-8834
Fax Number	:	301-345-8838

Authorized Official
Title or Position	:	OWNER
Name	:	DR. LEEANN RHODES
Credential	:	M.D.
Telephone Number	:	301-345-8834

Provider Enumeration Date	:	09/14/2010
Last Update Date	:	09/14/2010

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Directions to “LEEANN RHODES, M.D., P.C. ” Practice Location

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