MEDICARE: MR. JAMES F LELAND 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	174400000X	Specialist	01029799	IN

General Provider Information

NPI Number	:	1851393102
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAMES F LELAND M.D.

Provider Business Mailing Address
First Line	:	8830 PICKWICK DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46260-1710
Country	:	US
Telephone Number	:	317-298-3350
Fax Number	:

Provider Business Practice Location Address
First Line	:	3850 SHORE DR
Second Line	:	STE 305
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46254-4693
Country	:	US
Telephone Number	:	317-298-3350
Fax Number	:

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

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	07/09/2007

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