Provider Demographics
NPI:1235489774
Name:SHAHLA, LEENA (MD)
Entity type:Individual
Prefix:
First Name:LEENA
Middle Name:
Last Name:SHAHLA
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 CROOKED CREEK PKWY STE 400
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-8507
Mailing Address - Country:US
Mailing Address - Phone:919-385-3000
Mailing Address - Fax:919-576-8821
Practice Address - Street 1:234 CROOKED CREEK PKWY STE 400
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-8507
Practice Address - Country:US
Practice Address - Phone:919-385-3000
Practice Address - Fax:919-576-8821
Is Sole Proprietor?:No
Enumeration Date:2012-09-12
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2024-00595207RE0101X
MA264613207RE0101X
FLME132940207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism